ABDOLREZA SIADATI (MD) – Neurological Surgery Physician, NPI 1033138011
Neurological Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
588 NEUROSURGERY in TX
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Provider Addresses for ABDOLREZA SIADATI (MD)
1900, Mistletoe Boulevard, Fort Worth, Tarrant County, Texas, 76110, United States
SUITE 200
FORT WORTH, TX 761044014
Phone: (817) 878-5333
Fax: (817) 878-5334
Type: Location
Mistletoe Boulevard, Fort Worth, Tarrant County, Texas, 76110, United States
FORT WORTH, TX 761044049
Phone: (817) 878-5333
Fax: (817) 878-5334
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $950.
Total Amount is formed as General ($950) + Research ($0) + Ownership ($0) = $950.
Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Globus Medical, Inc. ($493).
Total Amount
$950
General + Research + Ownership
Payments
15
Total payment records
General Amount
$950
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-08
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2004-08-12
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 |
|---|---|---|---|---|
| I20040812000847 | I | Neurosurgery | TX | 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 | 281 | 210 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 126 | 126 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 68 | 62 | $0 |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | 64 | 26 | $0 |
| 22614 | Fusion of additional segment of spine | 60 | 19 | $0 |
Insurance plans in this area (ZIP 76104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OK | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| N E U R O S U R G E R Y | TX | |
| N E U R O S U R G E R Y | TX | |
| - | TX | |
| N E U R O S U R G E R Y | TX | |
| Physician Assistant | VA | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX |
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