DR. SHAYAN ALIREZA IZADDOOST (M.D., PH.D.) – Plastic and Reconstructive Surgery Physician, NPI 1457599706

DR. SHAYAN ALIREZA IZADDOOST (M.D., PH.D.) is a healthcare provider. based in Houston, Texas. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials M.D., PH.D.. They hold a License No. N0850 (TX). The NPI Number for DR. SHAYAN ALIREZA IZADDOOST (M.D., PH.D.) is 1457599706

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHAYAN ALIREZA IZADDOOST (M.D., PH.D.)
NPI
1457599706
Phone
(713) 633-4411
Address
8731 KATY FWY STE 500
Enumeration Date
24 January 2009
Last Update Date
17 September 2021

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
7134420000
Graduation Year
2003 (23 years ago)
PAC ID
6002969342
Group Practice PAC ID
9739093527
Professional Enrollment ID
I20090804000145
Address ID
TX770251669HO2727XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:17State licenses:1Digital endpointsOther names

588 PLASTIC AND RECONSTRUCTIVE SURGERY in TX

Provider Addresses for DR. SHAYAN ALIREZA IZADDOOST (M.D., PH.D.)

  • 8731 KATY FWY STE 500

    HOUSTON, TX 770241703

    Phone: (713) 633-4411

    Fax: (281) 888-7200

    Type: Location

  • 11511 SHADOW CREEK PKWY

    PEARLAND, TX 775847298

    Phone: (713) 442-0000

    Type: Mailing

  • Byron Street, Robins Air Force Base, Houston County, Georgia, 31098, United States

    HOUSTON, TX 770053627

    Phone: (713) 660-0696

    Type: Mailing

  • 2727 W HOLCOMBE BLVD

    HOUSTON, TX 770251669

    Phone: (713) 442-0000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $810.

Total Amount is formed as General ($810) + Research ($0) + Ownership ($0) = $810.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Mentor Worldwide LLC ($387).

Total Amount

$810

General + Research + Ownership

Payments

11

Total payment records

General Amount

$810

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

Top Companies

Largest payers in this snapshot

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: 2009-08-04

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
I20090804000145IPlastic And Reconstructive SurgeryTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77024)

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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: 9739093527View full group profile
NameSpecialtyState
-TX
-TX
Hospitalist, Internal MedicineTX
N E U R O L O G YTX
D E R M A T O L O G YTX
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseTX
-TX
Physician AssistantTX
Family PracticeTX
Physician AssistantMA

Reviews

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Frequently asked questions

Is DR. SHAYAN ALIREZA IZADDOOST (M.D., PH.D.) listed with a National Provider Identifier?
Yes — DR. SHAYAN ALIREZA IZADDOOST (M.D., PH.D.) has NPI 1457599706 on file in the registry.
Is there an active status for DR. SHAYAN ALIREZA IZADDOOST (M.D., PH.D.)?
For scheduling context, DR. SHAYAN ALIREZA IZADDOOST (M.D., PH.D.) is shown as active in the registry.
What kind of doctor is DR. SHAYAN ALIREZA IZADDOOST (M.D., PH.D.)?
DR. SHAYAN ALIREZA IZADDOOST (M.D., PH.D.) is associated with Plastic and Reconstructive Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Texas is DR. SHAYAN ALIREZA IZADDOOST (M.D., PH.D.) registered?
Use Houston, Texas as the headline location for DR. SHAYAN ALIREZA IZADDOOST (M.D., PH.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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