DR. ALI M. KIZILBASH (M.D.) – Clinical Cardiac Electrophysiology Physician, NPI 1104825090

DR. ALI M. KIZILBASH (M.D.) is a healthcare provider. based in Irving, Texas. specializing in CARDIAC ELECTROPHYSIOLOGY. They hold the professional credentials M.D.. They hold a License No. K0095 (TX). The NPI Number for DR. ALI M. KIZILBASH (M.D.) is 1104825090

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALI M. KIZILBASH (M.D.)
NPI
1104825090
Phone
(972) 607-2525
Address
1110 COTTONWOOD LN
Enumeration Date
21 July 2005
Last Update Date
21 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4697646950
Graduation Year
1990 (36 years ago)
PAC ID
9638068828
Group Practice PAC ID
1355254210
Professional Enrollment ID
I20040315000617
Address ID
TX750717822MC5252XDRXX400

Contacts

Secure Messaging
akizilbash218119@direct.sw.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

276 CARDIAC ELECTROPHYSIOLOGY in TX

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Provider Addresses for DR. ALI M. KIZILBASH (M.D.)

  • 1110, Cottonwood Lane, Irving, Dallas County, Texas, 75038, United States

    SUITE 105

    IRVING, TX 750386117

    Phone: (972) 607-2525

    Fax: (972) 252-8837

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 94 Open Payments records for all available years, with a total value of $1,426.

Total Amount is formed as General ($1,426) + Research ($0) + Ownership ($0) = $1,426.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($278).

Total Amount

$1,426

General + Research + Ownership

Payments

94

Total payment records

General Amount

$1,426

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

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: 2004-03-15

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
I20040315000617ICardiac ElectrophysiologyTXTBD

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
93296Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days725343$0
99214Established patient office or other outpatient visit, 30-39 minutes590426$0
93294Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days519240$0
93793Anticoagulant management of patient taking warfarin38618$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report283227$0
View full utilization report →

Insurance plans in this area (ZIP 75038)

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Provider's Procedures

DR. ALI M. KIZILBASH (M.D.) performs procedures in CARDIAC ELECTROPHYSIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)TX93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report12796
CARDIOVASCULAR DISEASE (CARDIOLOGY)TX93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report313251
CARDIOVASCULAR DISEASE (CARDIOLOGY)TX93284Evaluation, testing and programming adjustment of defibrillator with analysis, review and report9364

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: 1355254210View full group profile
NameSpecialtyState
Radiation OncologyTX
Nurse PractitionerTX
Internal MedicineTX
-TX
-TX
Clinical Social WorkerTX
-TX
Nurse PractitionerTX
Orthopedic SurgeryTX
Clinical PsychologistTX

Reviews

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Frequently asked questions

What is the standard ID for DR. ALI M. KIZILBASH (M.D.) in the U.S.?
In the U.S., DR. ALI M. KIZILBASH (M.D.) is identified by NPI 1104825090.
Is DR. ALI M. KIZILBASH (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. ALI M. KIZILBASH (M.D.) as active.
What services align with DR. ALI M. KIZILBASH (M.D.)'s listing?
DR. ALI M. KIZILBASH (M.D.)'s public classification highlights Clinical Cardiac Electrophysiology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. ALI M. KIZILBASH (M.D.) in Irving, Texas?
For routing, start with Irving, Texas for DR. ALI M. KIZILBASH (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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