SAM BAZRAFSHAN (D.P.M.) – Podiatrist, NPI 1417314477

SAM BAZRAFSHAN (D.P.M.) is a healthcare provider. based in Chattanooga, Tennessee. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. POD001307 (GA). The NPI Number for SAM BAZRAFSHAN (D.P.M.) is 1417314477

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
SAM BAZRAFSHAN (D.P.M.)
NPI
1417314477
Phone
(423) 698-1966
Address
4308 BRAINERD RD
Enumeration Date
21 January 2016
Last Update Date
17 May 2018

Doctor Profile

Medical School Name
BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
4236981966
Graduation Year
2013 (13 years ago)
PAC ID
4880989656
Group Practice PAC ID
5597655654
Professional Enrollment ID
I20160818002276
Address ID
TN374115424CH4308XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:10State licenses:3Digital endpointsOther names

231 PODIATRY in TN

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Provider Addresses for SAM BAZRAFSHAN (D.P.M.)

  • 4308, Brainerd Road, Brainerd, Ridgeside, Chattanooga, Hamilton County, Tennessee, 37411, United States

    CHATTANOOGA, TN 37411

    Phone: (423) 698-1966

    Fax: (423) 697-7207

    Type: Location

  • 900, Circle 75 Parkway Southeast, Atlanta, Cobb County, Georgia, 30339, United States

    SUITE 900

    ATLANTA, GA 303393035

    Phone: (678) 426-2171

    Fax: (404) 446-1957

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 44 Open Payments records for all available years, with a total value of $3,626.

Total Amount is formed as General ($3,626) + Research ($0) + Ownership ($0) = $3,626.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($2,056).

Total Amount

$3,626

General + Research + Ownership

Payments

44

Total payment records

General Amount

$3,626

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

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: 2016-09-23

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
I20160818002276IPodiatryTNTBD
I20160923001705IPodiatryGATBD

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
11720Removal of fingernails or toenails, 1-5 nails254102$0
11056Removal of noncancer thickened skin growth, 2-4 growths23997$0
99213Established patient office or other outpatient visit, 20-29 minutes224130$0
G0127Trimming of dystrophic nails, any number21889$0
99214Established patient office or other outpatient visit, 30-39 minutes14169$0
View full utilization report →

Insurance plans in this area (ZIP 37411)

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Provider's Procedures

SAM BAZRAFSHAN (D.P.M.) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYTN11056Removal of 2 to 4 thickened skin growths6245
PODIATRYTN11720Removal of tissue from 1 to 5 finger or toe nails9261
PODIATRYTN73630X-ray of foot, minimum of 3 views3726

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: 5597655654View full group profile
NameSpecialtyState
Nurse PractitionerTN
P O D I A T R YTN
Nurse PractitionerFL
P O D I A T R YNY
Nurse PractitionerTN
P O D I A T R YGA
P O D I A T R YGA
P O D I A T R YTN
P O D I A T R YGA

Reviews

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Frequently asked questions

What is the 10-digit NPI for SAM BAZRAFSHAN (D.P.M.)?
SAM BAZRAFSHAN (D.P.M.) — NPI 1417314477 — is the standard way to identify this listing.
Can I rely on SAM BAZRAFSHAN (D.P.M.) being an active provider?
As of the registry snapshot, SAM BAZRAFSHAN (D.P.M.) is marked active.
What is SAM BAZRAFSHAN (D.P.M.)'s specialty?
The listing groups SAM BAZRAFSHAN (D.P.M.) with Podiatrist. Clinical services aligned with this taxonomy classification.
What address line appears for SAM BAZRAFSHAN (D.P.M.)?
SAM BAZRAFSHAN (D.P.M.)'s geographic hint is Chattanooga, Tennessee in our summary view.
Is the information about SAM BAZRAFSHAN (D.P.M.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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