DR. ALI KIMYAGHALAM (M.D.) – Student in an Organized Health Care Education/Training Program, NPI 1922455146
Student in an Organized Health Care Education/Training Program
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
12 VASCULAR SURGERY in WY
Provider Addresses for DR. ALI KIMYAGHALAM (M.D.)
PO BOX 20970
CHEYENNE, WY 820037020
Phone: (307) 637-1600
Fax: (307) 637-1699
Type: Mailing
2301 HOUSE AVE STE 301
CHEYENNE, WY 820013178
Phone: (307) 637-1600
Fax: (307) 637-1699
Type: Location
425 W 5th St
East Liverpool, OH 439202498
Phone: (330) 385-7200
Type: Location
1075 N Curtis Rd Ste 101
Boise, ID 837061348
Phone: (208) 302-2800
Fax: (208) 302-2825
Type: Location
740 E State St
Sharon, PA 161463328
Phone: (724) 983-3911
Type: Location
1350 E Market St
Warren, OH 444836608
Phone: (330) 884-0795
Fax: (330) 884-0651
Type: Location
Northside Medical Center, 500, Gypsy Lane, Union Square, Youngstown, Mahoning County, Ohio, 44501, United States
YOUNGSTOWN, OH 445041315
Phone: (330) 884-0795
Fax: (330) 884-0651
Type: Mailing
400 Town Center Ave Ste 301
Columbiana, OH 444088312
Phone: (330) 332-1551
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 140 Open Payments records for all available years, with a total value of $12,577.
Total Amount is formed as General ($12,577) + Research ($0) + Ownership ($0) = $12,577.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Stryker Corporation ($3,643).
Total Amount
$12,577
General + Research + Ownership
Payments
140
Total payment records
General Amount
$12,577
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $3,643 |
| Endologix LLC | $1,972 |
| Silk Road Medical, Inc. | $1,717 |
| Inari Medical, Inc. | $1,162 |
| Penumbra, Inc. | $856 |
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: 2025-08-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 8 Medicare enrollment records; no due dates published yet.
Enrollment records
8
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 |
|---|---|---|---|---|
| I20221207000810 | I | Psychiatry | NY | TBD |
| I20230531003296 | I | Vascular Surgery | OH | TBD |
| I20230606003493 | I | Vascular Surgery | PA | TBD |
| I20231019002840 | I | Vascular Surgery | NE | TBD |
| I20240823002349 | I | Vascular Surgery | ID | TBD |
| I20241217003984 | I | Vascular Surgery | SD | TBD |
| I20250625001086 | I | Vascular Surgery | WY | TBD |
| I20250813002885 | I | Vascular Surgery | VA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 37 | 33 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 30 | 30 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 25 | 16 | $0 |
| 93923 | Complete ultrasound study of arm and leg arteries | 21 | 21 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 16 | 14 | $0 |
Insurance plans in this area (ZIP 82003)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Infectious Disease, Hospitalist | NV | |
| Nurse Practitioner | OH | |
| - | OH | |
| Internal Medicine | OH | |
| Emergency Medicine, Internal Medicine | OH | |
| Internal Medicine | MI | |
| Emergency Medicine | AR | |
| Emergency Medicine | WI | |
| Emergency Medicine | OH | |
| Internal Medicine | OH |
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