DR. ALI KHAVARI DPM
NPI 1043836778
Podiatrist - Foot & Ankle Surgery in Walnut Creek, CA

Q: What is Ali Khavari's NPI number?

The NPI number for Ali Khavari is 1043836778. It was assigned to this individual provider in the NPPES registry on June 18, 2020.

Q: What is Ali Khavari's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Ali Khavari was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 18, 2020PECOS EnrolledAccepts Medicare Assignment

2637 SHADELANDS DR, WALNUT CREEK, CA 94598(925) 464-1982 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 11, 2025, May 6, 2024, Jun 18, 2020 (3 updates tracked since 2020).

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About Dr. Ali Khavari Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALI KHAVARI DPM (NPI 1043836778) is an individual foot & ankle surgery provider in Walnut Creek, California, licensed in California (E6047) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Ramon, and is a graduate of California School Of Podiatric Medicine (2021).

NPPES Registry Identity

NPI1043836778

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameDR. ALI KHAVARICredential: DPM

Location Address2637 SHADELANDS DRWalnut Creek, CA 94598-2512

Mailing Address2637 Shadelands DrWalnut Creek, CA 94598-2512 · (925) 464-1982

Phone(925) 464-1982

Sole ProprietorYes

Medical School CMSCalifornia School Of Podiatric MedicineGraduated 2021

Enumeration DateJune 18, 2020

Last NPPES UpdateMay 1, 20253 updates tracked since enumeration

NPPES CertifiedMay 1, 2025

✔ NPI 1043836778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in CA · E6047

2637 SHADELANDS DR, Walnut Creek, CA 94598

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Secondary Practice Location 1

Location 112677 Alcosta Blvd Ste 180San Ramon, CA 94583-4423 · Phone (925) 464-1982

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ali Khavari Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183169493

PECOS Enrollment IDI20240711000452

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Ali Khavari reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bass Medical Group

Same address

Specialist

2637 SHADELANDS DR
Walnut Creek, CA 94598

Reassigned Medicare billing, California enrollment
347 clinicians in this Medicare group

NPI 1154401941 (925) 932-6330

John Muir Trauma Physicians Billing Service

1.4 mi

Trauma Surgery

1601 YGNACIO VALLEY RD
Walnut Creek, CA 94598

Reassigned Medicare billing, California enrollment
810 clinicians in this Medicare group

NPI 1962551861 (925) 947-5331

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

83 services47 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

82 services82 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

47 services47 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

45 services39 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

42 services38 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

33 services11 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAELA STRAZNICKA M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)