ARDAVAN JOHN RAFIZADEH (PA-C) – Physician Assistant, NPI 1174564058
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
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Provider Addresses for ARDAVAN JOHN RAFIZADEH (PA-C)
P O BOX 93175
SOUTHLAKE, TX 760921175
Phone: (972) 599-0080
Type: Mailing
Baylor University Medical Center, 3500, Gaston Avenue, Old East Dallas, Dallas, TX, Dallas, Dallas County, Texas, 75246, United States
DALLAS, TX 752462096
Phone: (972) 280-0080
Fax: (972) 280-0081
Type: Location
100 WILSON RD STE 100
MONTEREY, CA 939407885
Phone: (831) 649-1000
Type: Mailing
212 SAN JOSE ST STE 301
SALINAS, CA 939013928
Phone: (831) 759-3289
Fax: (831) 758-1565
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $112.
Total Amount is formed as General ($112) + Research ($0) + Ownership ($0) = $112.
Last reported payment date: 2023-08-17 • Largest payer in this snapshot: Getinge USA Sales, LLC ($112).
Total Amount
$112
General + Research + Ownership
Payments
3
Total payment records
General Amount
$112
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Getinge USA Sales, LLC | $112 |
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: 2023-06-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20050502000357 | I | Physician Assistant | TX | TBD |
| I20220929002086 | I | Physician Assistant | AR | TBD |
| I20230621002255 | I | Physician Assistant | CA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76092)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | TX | 33533 | Heart artery bypass to repair one artery | 20 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| Orthopedic Surgery | CA | |
| Nurse Practitioner | CA | |
| Hospitalist, Family Practice | CA | |
| Thoracic Surgery, General Surgery | CA | |
| Hospitalist, Internal Medicine | AZ | |
| - | CA | |
| - | CA | |
| - | CA | |
| Physician Assistant | CA |
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