DR. ALLEN ARDESTANI (MD, PHD) – Neuroradiology Physician, NPI 1134474711

DR. ALLEN ARDESTANI (MD, PHD) is a healthcare provider. based in Germantown, Tennessee. specializing in DIAGNOSTIC RADIOLOGY, DIAGNOSTIC RADIOLOGY, UNDEFINED PHYSICIAN TYPE (SPECIFY). They hold the professional credentials MD, PHD. They hold a License No. 25955 (MS). The NPI Number for DR. ALLEN ARDESTANI (MD, PHD) is 1134474711

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALLEN ARDESTANI (MD, PHD)
NPI
1134474711
Phone
(901) 683-0055
Address
7714 POPLAR AVE STE 200
Enumeration Date
19 July 2012
Last Update Date
3 April 2019

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Secondary Phone
9015457100
Graduation Year
2012 (14 years ago)
PAC ID
7214206598
Group Practice PAC ID
6608784855
Professional Enrollment ID
I20180618002505
Address ID
TN381032807ME877XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:13State licenses:2Digital endpointsOther names

1,081 DIAGNOSTIC RADIOLOGY in TN

Provider Addresses for DR. ALLEN ARDESTANI (MD, PHD)

  • 7714 POPLAR AVE STE 200

    GERMANTOWN, TN 381383941

    Phone: (901) 683-0055

    Fax: (901) 685-2969

    Type: Mailing

  • 7945 WOLF RIVER BLVD

    GERMANTOWN, TN 381381762

    Phone: (901) 683-0055

    Fax: (901) 685-2969

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $154.

Total Amount is formed as General ($154) + Research ($0) + Ownership ($0) = $154.

Last reported payment date: 2024-05-08 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($140).

Total Amount

$154

General + Research + Ownership

Payments

2

Total payment records

General Amount

$154

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-08

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: 2018-08-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180618002505INeuroradiologyTNTBD
I20180828000615IDiagnostic RadiologyMSTBD

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
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml125,9921,055$0
A9579Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml4,800201$0
71260Ct scan of chest with contrast1,100800$0
74177Ct scan of abdomen and pelvis with contrast954699$0
78815Nuclear medicine study from skull base to mid-thigh with ct scan347324$0
View full utilization report →

Insurance plans in this area (ZIP 38138)

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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: 6608784855View full group profile
NameSpecialtyState
Medical OncologyTN
P A T H O L O G YTN
P A T H O L O G YNC
H E M A T O L O G Y/ O N C O L O G YTN
P A T H O L O G YTN
P A T H O L O G YTN
Nurse PractitionerAR
P A T H O L O G YOH
Hematology/Oncology, Internal MedicineTN
P A T H O L O G YTN

Reviews

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Frequently asked questions

What federal number belongs to DR. ALLEN ARDESTANI (MD, PHD)?
The federal identifier for DR. ALLEN ARDESTANI (MD, PHD) is NPI 1134474711.
Is DR. ALLEN ARDESTANI (MD, PHD) active in the national directory?
DR. ALLEN ARDESTANI (MD, PHD)'s public NPI profile is in an active state.
What field does DR. ALLEN ARDESTANI (MD, PHD) work in?
You can think of DR. ALLEN ARDESTANI (MD, PHD) as practicing within Neuroradiology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. ALLEN ARDESTANI (MD, PHD)'s primary listing?
We display Germantown, Tennessee because that is what the record indicates for DR. ALLEN ARDESTANI (MD, PHD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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