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

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: August 09, 2026.

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

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
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

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, and ordering and referring status from the CMS PECOS system.

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.

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.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
2637 SHADELANDS DR
WALNUT CREEK, CA 94598
Internal Medicine (Gastroenterology)
2637 SHADELANDS DR
WALNUT CREEK, CA 94598
Physician Assistant
2637 SHADELANDS DR
WALNUT CREEK, CA 94598
Clinic/Center (Magnetic Resonance Imaging (MRI))
2637 SHADELANDS DR
WALNUT CREEK, CA 94598
Obstetrics & Gynecology
2637 SHADELANDS DR
WALNUT CREEK, CA 94598
Nurse Practitioner (Family)
2637 SHADELANDS DR
WALNUT CREEK, CA 94598
Internal Medicine (Pulmonary Disease)
2637 SHADELANDS DR
WALNUT CREEK, CA 94598
Midwife
2637 SHADELANDS DR
WALNUT CREEK, CA 94598

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Ali Khavari located?

Ali Khavari practices at 2637 Shadelands Dr, Walnut Creek, CA 94598. The listed phone number is (925) 464-1982.

What is Ali Khavari's specialty?

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

Is Ali Khavari enrolled in Medicare?

Yes. Ali Khavari is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

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 15 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.