SHAHRIAR ALIZADEGAN (M.D) – Vascular Surgery Physician, NPI 1063647857

SHAHRIAR ALIZADEGAN (M.D) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in VASCULAR SURGERY, GENERAL SURGERY. They hold the professional credentials M.D. They hold a License No. 62270 (WI). The NPI Number for SHAHRIAR ALIZADEGAN (M.D) is 1063647857

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
SHAHRIAR ALIZADEGAN (M.D)
NPI
1063647857
Phone
(414) 805-8620
Address
9200 W WISCONSIN AVE
Enumeration Date
21 May 2009
Last Update Date
20 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9209292300
Graduation Year
1995 (31 years ago)
PAC ID
6800116757
Group Practice PAC ID
1658289624
Professional Enrollment ID
I20160712000026
Address ID
WI549354560FO430XXSTXX400

Contacts

FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Secure Messaging
salizadegan332181@direct-ehr-ssmhc.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

130 VASCULAR SURGERY in WI

Loading map...

Provider Addresses for SHAHRIAR ALIZADEGAN (M.D)

  • Froedtert Hospital, 9200, West Wisconsin Avenue, Cannon Park, Wauwatosa, Milwaukee County, Wisconsin, 53226, United States

    VASCULAR SURGERY

    MILWAUKEE, WI 532263522

    Phone: (414) 805-8620

    Fax: (414) 454-0152

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $153.

Total Amount is formed as General ($153) + Research ($0) + Ownership ($0) = $153.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Medtronic, Inc. ($134).

Total Amount

$153

General + Research + Ownership

Payments

3

Total payment records

General Amount

$153

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$134
Penumbra, Inc.$19
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: 2016-07-12

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
I20160712000026IVascular SurgeryWITBD

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
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes2927$0
76937Ultrasonic guidance for blood vessel access2624$0
75625Review by radiologist of abdominal aorta image1111$0
75716Review by radiologist of both arms or legs arteries image1111$0
View full utilization report →

Insurance plans in this area (ZIP 53226)

Loading plans...

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: 1658289624View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)WI
-WI
U R O L O G YWI
-WI
P S Y C H I A T R YWI
Certified Registered Nurse Anesthetist (Crna)WI
-ND
Nephrology, Internal MedicineWI
Family PracticeWI
Family PracticeWI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is SHAHRIAR ALIZADEGAN (M.D) identified in CMS data?
CMS-hosted NPPES data lists SHAHRIAR ALIZADEGAN (M.D) with NPI 1063647857.
Is SHAHRIAR ALIZADEGAN (M.D) listed as active for patients and plans?
The listing shows SHAHRIAR ALIZADEGAN (M.D) as active in the NPI system.
What is SHAHRIAR ALIZADEGAN (M.D)'s primary classification?
Vascular Surgery Physician is the headline specialty for SHAHRIAR ALIZADEGAN (M.D) here. Clinical services aligned with this taxonomy classification.
What area does SHAHRIAR ALIZADEGAN (M.D) serve?
SHAHRIAR ALIZADEGAN (M.D)'s listing highlights Milwaukee, Wisconsin; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

North Port Washington Road, Williamsburg Heights, Milwaukee, Milwaukee County, Wisconsin, 53217, United States
NPI: 1841299773
North Port Washington Road, Williamsburg Heights, Milwaukee, Milwaukee County, Wisconsin, 53217, United States
NPI: 1437159399
North Port Washington Road, Williamsburg Heights, Milwaukee, Milwaukee County, Wisconsin, 53217, United States
NPI: 1780684647
5150 N Port Washington Rd
NPI: 1073513974

GOYA V RAIKAR (MD)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Froedtert Hospital, 9200, West Wisconsin Avenue, Cannon Park, Wauwatosa, Milwaukee County, Wisconsin, 53226, United States
NPI: 1376516229
West Kinnickinnic River Parkway, Southgate, Milwaukee, Milwaukee County, Wisconsin, 53215, United States
NPI: 1396710240

CARDIOTHORACIC SURGERY GROUP SC

Vascular Surgery Physician
2315, North Lake Drive, Northpoint, Milwaukee, Milwaukee County, Wisconsin, 53211, United States
NPI: 1053388553

RICHARD E CARBALLO (M.D.)

Vascular Surgery Physician
River Parkway, Wauwatosa, Milwaukee County, Wisconsin, 53213, United States
NPI: 1245208644

VASCULAR LABORATORY ASSOCIATES

Vascular Surgery Physician
5000, West Chambers Street, Saint Joseph's, Milwaukee, Milwaukee County, Wisconsin, 53210, United States
NPI: 1750346912