MOHAMMAD REZA SIADATI (MD) – Surgery Physician, NPI 1194718452
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,644 GENERAL SURGERY in TX
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Provider Addresses for MOHAMMAD REZA SIADATI (MD)
1325, Pennsylvania Avenue, Fort Worth, Tarrant County, Texas, 76104, United States
SUTIE 200
FORT WORTH, TX 761042158
Phone: (817) 332-9957
Fax: (817) 336-3131
Type: Mailing
2050 HALL JOHNSON RD STE 200
GRAPEVINE, TX 760518766
Phone: (817) 267-2678
Fax: (817) 251-0039
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $1,303.
Total Amount is formed as General ($1,303) + Research ($0) + Ownership ($0) = $1,303.
Last reported payment date: 2024-05-14 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,153).
Total Amount
$1,303
General + Research + Ownership
Payments
8
Total payment records
General Amount
$1,303
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $1,153 |
| Solventum Corporation | $95 |
| Medtronic, Inc. | $55 |
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: 2008-01-11
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 |
|---|---|---|---|---|
| I20080111000223 | I | General Surgery | 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 |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 112 | 48 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 46 | 44 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 35 | 35 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 32 | 32 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 26 | 21 | $0 |
Insurance plans in this area (ZIP 76104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | TX | |
| Vascular Surgery | PA | |
| Internal Medicine | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| Cardiovascular Disease (Cardiology), Internal Medicine | TX | |
| Family Practice | TX |
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