MASOUMEH KIAMANESH (M.D.) – Geriatric Medicine (Family Medicine) Physician, NPI 1225267651
Geriatric Medicine (Family Medicine) Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MASOUMEH KIAMANESH (M.D.)
2025 GLENN MITCHELL DR
VIRGINIA BEACH, VA 234560178
Phone: (757) 507-4123
Type: Mailing
200 1st St SW
Rochester, MN 559050001
Phone: (507) 284-2511
Type: Location
1080 First Colonial Rd
Ste 400
Virginia Beach, VA 234542406
Phone: (757) 395-8720
Fax: (757) 395-8821
Type: Location
1080, First Colonial Road, Linkhorn, Virginia Beach, Virginia, 23454, United States
STE 400
VIRGINIA BEACH, VA 234542406
Phone: (757) 395-8720
Fax: (757) 395-8821
Type: Mailing
200 1ST ST SW
ROCHESTER, MN 559050001
Phone: (507) 284-2511
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2021-10-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20121120000402 | I | Hospitalist | VA | TBD |
| I20211013003424 | I | Hospice/Palliative Care | MN | 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 23456)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | VA | |
| Nurse Practitioner | VA | |
| - | MI | |
| - | VA | |
| - | VA | |
| Pulmonary Disease, Internal Medicine | GA | |
| N E U R O L O G Y | VA | |
| Physician Assistant | VA | |
| - | VA | |
| Family Practice | VA |
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