DR. KIANOOSH DASTAN (M.D.) – Internal Medicine Physician, NPI 1124472261

DR. KIANOOSH DASTAN (M.D.) is a healthcare provider. based in Pittsburgh, Pennsylvania. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME140120 (FL). The NPI Number for DR. KIANOOSH DASTAN (M.D.) is 1124472261

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIANOOSH DASTAN (M.D.)
NPI
1124472261
Phone
(412) 232-5533
Address
1400 Locust St
Enumeration Date
14 April 2016
Last Update Date
24 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7865953900
Graduation Year
2016 (10 years ago)
PAC ID
2062707946
Group Practice PAC ID
2567429483
Professional Enrollment ID
I20191025000876
Address ID
FL331784732DO9500XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:10State licenses:1Digital endpointsOther names

9,962 INTERNAL MEDICINE in PA

Provider Addresses for DR. KIANOOSH DASTAN (M.D.)

  • 1400 Locust St

    Suite 10517

    Pittsburgh, PA 152195114

    Phone: (412) 232-5533

    Fax: (412) 232-5689

    Type: Location

  • Southwest 73rd Street, South Miami, Miami-Dade County, Florida, 33143, United States

    SOUTH MIAMI, FL 331434679

    Phone: (786) 662-5465

    Fax: (786) 662-5334

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $165.

Total Amount is formed as General ($165) + Research ($0) + Ownership ($0) = $165.

Last reported payment date: 2023-11-15 • Largest payer in this snapshot: ABBVIE INC. ($112).

Total Amount

$165

General + Research + Ownership

Payments

7

Total payment records

General Amount

$165

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-10-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191025000876IInternal MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes291278$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3231$0
99291Critical care, first 30-74 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 15219)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567429483View full group profile
NameSpecialtyState
Internal Medicine, Hospice/Palliative CareFL
Nurse PractitionerFL
Family PracticeFL
Internal MedicineFL
Nurse PractitionerFL
Nurse PractitionerFL
Internal MedicineFL
Internal MedicineFL
Nurse PractitionerFL
Internal MedicineFL

Reviews

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Frequently asked questions

What number should I use to identify DR. KIANOOSH DASTAN (M.D.) for billing?
Administrative and clinical systems typically use NPI 1124472261 for DR. KIANOOSH DASTAN (M.D.).
Quick check: is DR. KIANOOSH DASTAN (M.D.) active?
Public NPPES data shows DR. KIANOOSH DASTAN (M.D.) with an active NPI status right now.
What type of care does DR. KIANOOSH DASTAN (M.D.) provide?
DR. KIANOOSH DASTAN (M.D.)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. KIANOOSH DASTAN (M.D.) in Pittsburgh, Pennsylvania?
For routing, start with Pittsburgh, Pennsylvania for DR. KIANOOSH DASTAN (M.D.), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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