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DR. REZA ARDEHALI MD, PHD
NPI 1104005370
Internal Medicine in Houston, TX

Active since October 24, 2007PECOS EnrolledAccepts Medicare Assignment
86.1/100
CMS Quality Rating
7200 CAMBRIDGE ST FL 6, HOUSTON, TX 77030(713) 798-2545 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2025, Apr 5, 2023, Jan 3, 2020 (3 updates tracked since 2020).

About Dr. Reza Ardehali Md, Phd NPPES

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

DR. REZA ARDEHALI MD, PHD (NPI 1104005370) is an individual internal medicine provider in Houston, Texas, licensed in Texas (U2144) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104005370
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. REZA ARDEHALICredential: MD, PHD
Location Address7200 CAMBRIDGE ST FL 6Houston, TX 77030-4202
Mailing Address7200 Cambridge St Fl 6Houston, TX 77030-4202 · (713) 798-5525
Phone(713) 798-2545
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateOctober 24, 2007
Last NPPES UpdateJuly 10, 20253 updates tracked since enumeration
NPPES CertifiedJuly 10, 2025
✔ NPI 1104005370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in TX · U2144✔ Licensed in CA · A91843
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License A91843 (CA), U2144 (TX)
Also ListedHospitalistTaxonomy 208M00000X · License ME174339 (FL)
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License A91843 (CA)
7200 CAMBRIDGE ST FL 6, Houston, TX 77030
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1100 Medical Plz, 630Los Angeles, CA 90095-0001 · Phone (310) 825-9011 · Fax (310) 825-9012
Location 29981 S Healthpark DrFort Myers, FL 33908-3618 · Phone (239) 343-5820 · Fax (239) 343-4098

Other Identifiers 3

Medicaid127333100FL
Other1104005370CA · Ccs (medicaid)
Medicaid1104005370CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare, WellPoint.Insurance ›

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. Reza Ardehali Md, Phd 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 ID1557424397
PECOS Enrollment IDI20250703001188
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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
48 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100012
Location2776 Cleveland AveFort Myers, FL 33901 · Lee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.93
Promoting Interoperability100
Improvement Activities40
Cost66.73

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.

ETENESH MOLLA NP
Nurse Practitioner
7200 CAMBRIDGE ST FL 6
HOUSTON, TX 77030
Harris County (713) 798-2400
RAMIRO FERNANDEZ II
Thoracic Surgery (Cardiothoracic Vascular Surgery)
7200 CAMBRIDGE ST FL 6
HOUSTON, TX 77030
Harris County (713) 798-6376
LOLA XIE MD
Internal Medicine (Cardiovascular Disease)
7200 CAMBRIDGE ST FL 6
HOUSTON, TX 77030
Harris County (713) 798-2545
ANDREW B CIVITELLO M.D.
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
7200 CAMBRIDGE ST FL 6
HOUSTON, TX 77030
Harris County (713) 798-2545
GIANG QUACH D.O.
Surgery (Surgical Critical Care)
7200 CAMBRIDGE ST FL 6
HOUSTON, TX 77030
Harris County (713) 798-7911
MATTHEW RISHER DESHOTELS
Internal Medicine (Cardiovascular Disease)
7200 CAMBRIDGE ST FL 6
HOUSTON, TX 77030
Harris County (713) 798-2545
MUHAMMAD RIZWAN SOHAIL MD
Internal Medicine (Infectious Disease)
7200 CAMBRIDGE ST FL 6
HOUSTON, TX 77030
Harris County (713) 798-1750
DR. LIZABETH ELLEN RILEY MD
Family Medicine
7200 CAMBRIDGE ST FL 6
HOUSTON, TX 77030
Harris County (713) 798-7877

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 Reza Ardehali's NPI number?

The NPI number for Reza Ardehali is 1104005370. It was assigned to this individual provider in the NPPES registry on October 24, 2007.

Where is Reza Ardehali located?

Reza Ardehali practices at 7200 Cambridge St Fl 6, Houston, TX 77030. The listed phone number is (713) 798-2545.

What is Reza Ardehali's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Reza Ardehali enrolled in Medicare?

Yes. Reza Ardehali 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.

What insurance does Reza Ardehali accept?

Health plans from Blue Cross and Blue Shield of Texas, UnitedHealthcare and WellPoint list Reza Ardehali as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Reza Ardehali affiliated with any hospitals?

According to CMS data, Reza Ardehali is affiliated with Lee Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Reza Ardehali was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.