DR. KAVEH NEZAFATI (MD) – Dermatology Physician, NPI 1306088323

DR. KAVEH NEZAFATI (MD) is a healthcare provider. based in Denton, Texas. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. P4989 (TX). The NPI Number for DR. KAVEH NEZAFATI (MD) is 1306088323

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. KAVEH NEZAFATI (MD)
NPI
1306088323
Phone
(940) 384-7546
Address
2214 EMERY ST STE 300
Enumeration Date
6 April 2009
Last Update Date
4 January 2022

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
4696049000
Graduation Year
2009 (17 years ago)
PAC ID
7911148267
Group Practice PAC ID
0648188250
Professional Enrollment ID
I20130729000623
Address ID
TX750334229FR12500PKWY300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,284 DERMATOLOGY in TX

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Provider Addresses for DR. KAVEH NEZAFATI (MD)

  • Emery Street, Denton, Denton County, Texas, 76201, United States

    DENTON, TX 762012473

    Phone: (940) 384-7546

    Type: Mailing

  • 5323 HARRY HINES BLVD

    DALLAS, TX 753907201

    Phone: (214) 648-3111

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $67.

Total Amount is formed as General ($67) + Research ($0) + Ownership ($0) = $67.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: ABBVIE INC. ($67).

Total Amount

$67

General + Research + Ownership

Payments

2

Total payment records

General Amount

$67

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$67
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: 2013-07-29

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
I20130729000623IDermatologyTXTBD

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
17003Destruction of precancer skin growth, 2-14 growths29067$0
99213Established patient office or other outpatient visit, 20-29 minutes260205$0
99214Established patient office or other outpatient visit, 30-39 minutes218145$0
11102Biopsy of related skin growth, first growth203168$0
17000Destruction of precancer skin growth, 1 growth123102$0
View full utilization report →

Insurance plans in this area (ZIP 76201)

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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: 0648188250View full group profile
NameSpecialtyState
-TX
Diagnostic RadiologyTX
Anesthesiology, Pain ManagementFL
-TX
Internal MedicineTX
-TX
U R O L O G YTX
-TX
-TX
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

What NPI should I save for DR. KAVEH NEZAFATI (MD)?
Save NPI 1306088323 if you need a stable reference for DR. KAVEH NEZAFATI (MD).
Is DR. KAVEH NEZAFATI (MD) currently active in the NPI registry?
CMS-published data lists DR. KAVEH NEZAFATI (MD) as an active registrant.
Can you summarize DR. KAVEH NEZAFATI (MD)'s specialty in plain language?
Clinically, the directory lists DR. KAVEH NEZAFATI (MD) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. KAVEH NEZAFATI (MD)?
The snapshot lists Denton, Texas for DR. KAVEH NEZAFATI (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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