MITRA SAHEBAZAMANI (MD) – Critical Care Medicine (Internal Medicine) Physician, NPI 1780814392
Critical Care Medicine (Internal Medicine) Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
566 CRITICAL CARE (INTENSIVISTS) in VA
Provider Addresses for MITRA SAHEBAZAMANI (MD)
1755 N MECKLENBURG AVE
SOUTH HILL, VA 239704080
Phone: (434) 447-3151
Type: Location
PO BOX 780125
PHILADELPHIA, PA 191780125
Phone: (804) 922-4844
Type: Mailing
521 Moye Blvd
Greenville, NC 278342849
Phone: (252) 744-1600
Fax: (252) 744-1115
Type: Location
600 Gresham Dr Ste 8630B
Norfolk, VA 235071904
Phone: (757) 388-6115
Fax: (757) 275-9998
Type: Location
Box Street, Port Charlotte, Charlotte County, Florida, 33948, United States
CHARLOTTE, NC 282751069
Phone:
Type: Mailing
521, Moye Boulevard, Village Grove, Greenville, Pitt County, North Carolina, 27834, United States
GREENVILLE, NC 278342849
Phone: (252) 744-1600
Fax: (252) 744-1115
Type: Location
2655 NORTHWINDS PKWY
ALPHARETTA, GA 300092280
Phone:
Type: Mailing
600 GRESHAM DR STE 8630B
NORFOLK, VA 235071904
Phone: (757) 388-6115
Fax: (757) 275-9998
Type: Location
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 $73.
Total Amount is formed as General ($73) + Research ($0) + Ownership ($0) = $73.
Last reported payment date: 2024-07-22 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($49).
Total Amount
$73
General + Research + Ownership
Payments
2
Total payment records
General Amount
$73
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $49 |
| Merck Sharp & Dohme LLC | $24 |
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: 2022-09-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1047 days ago).
Enrollment records
3
Earliest due date
2023-07-31
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 |
|---|---|---|---|---|
| I20091113000182 | I | Pulmonary Disease | VA | 2023-07-31 |
| I20181119000649 | I | Pulmonary Disease | NC | TBD |
| I20220907001291 | I | Critical Care (Intensivists) | IN | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 69 | 41 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 41 | 34 | $0 |
Insurance plans in this area (ZIP 23970)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | VA | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 143 | 142 |
Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | GA | |
| - | SC | |
| - | SC | |
| Diagnostic Radiology | NC | |
| Diagnostic Radiology, Neurology | NC | |
| Certified Registered Nurse Anesthetist (Crna) | VA | |
| Diagnostic Radiology | NC | |
| Qualified Audiologist | NC | |
| Diagnostic Radiology | NH | |
| Diagnostic Radiology, Interventional Radiology | MO |
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