KAMRAN MAHALATI (M.D.) – Surgery Physician, NPI 1518934603
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
860 GENERAL SURGERY in TN
Provider Addresses for KAMRAN MAHALATI (M.D.)
145 INNOVATION DR
JACKSON, TN 383053019
Phone: (731) 422-0213
Fax: (731) 506-1849
Type: Location
400, Jackson County, Oregon, United States
JACKSON, TN 383020400
Phone: (731) 423-8697
Fax: (731) 423-2073
Type: Mailing
700, West Forest Avenue, Hicksville, Jackson, Madison County, Tennessee, 38301, United States
STE 300
JACKSON, TN 383013937
Phone: (731) 422-0310
Fax: (731) 422-0440
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $882.
Total Amount is formed as General ($882) + Research ($0) + Ownership ($0) = $882.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: TELA Bio, Inc. ($241).
Total Amount
$882
General + Research + Ownership
Payments
30
Total payment records
General Amount
$882
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TELA Bio, Inc. | $241 |
| Medtronic, Inc. | $161 |
| Smith+Nephew, Inc. | $102 |
| LeMaitre Vascular, Inc. | $80 |
| ABBVIE INC. | $62 |
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: 2005-06-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050601000674 | I | General Surgery | TN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 112 | 84 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 37 | 37 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 36 | 32 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 21 | 21 | $0 |
Insurance plans in this area (ZIP 38305)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Family Practice | TN | |
| E N D O C R I N O L O G Y | TN | |
| - | TN | |
| - | TN | |
| G A S T R O E N T E R O L O G Y | TN | |
| O P T O M E T R Y | TN | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | TN | |
| Certified Registered Nurse Anesthetist (Crna) | TN |
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