DR. ALIREZA MAHMOUDI MD
NPI 1497508642
Ophthalmology in Edina, MN

Active since April 08, 2024PECOS EnrolledAccepts Medicare Assignment
3601 W 76TH ST STE 300, EDINA, MN 55435(952) 929-1131 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Alireza Mahmoudi Md NPPES

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

DR. ALIREZA MAHMOUDI MD (NPI 1497508642) is an individual ophthalmology provider in Edina, Minnesota, licensed in Minnesota (80140) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1497508642
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. ALIREZA MAHMOUDICredential: MD
Location Address3601 W 76TH ST STE 300Edina, MN 55435-3004
Mailing Address3601 W 76th St Ste 300Edina, MN 55435-3004 · (952) 929-1131
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateApril 8, 2024
Last NPPES UpdateJuly 23, 2025
NPPES CertifiedJuly 23, 2025
✔ NPI 1497508642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MN · 80140
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X · License 39157 (FL)
3601 W 76TH ST STE 300, Edina, MN 55435

Accepted Insurance

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. Alireza Mahmoudi Md 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 ID1951803089
PECOS Enrollment IDI20250908000598
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 Reassignment

Medicare enrollment records show Alireza Mahmoudi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ophthalmology
3601 W 76TH ST STE 325
Edina, MN 55435
  • Reassigned Medicare billing, Minnesota enrollment
  • 26 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

Ophthalmology
3601 W 76TH ST STE 300
EDINA, MN 55435
Ophthalmology
3601 W 76TH ST STE 300
EDINA, MN 55435
Ophthalmology
3601 W 76TH ST STE 300
EDINA, MN 55435

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 Alireza Mahmoudi's NPI number?

The NPI number for Alireza Mahmoudi is 1497508642. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Where is Alireza Mahmoudi located?

Alireza Mahmoudi practices at 3601 W 76th St Ste 300, Edina, MN 55435. The listed phone number is (952) 929-1131.

What is Alireza Mahmoudi's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Alireza Mahmoudi enrolled in Medicare?

Yes. Alireza Mahmoudi 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.

Which organization bills Medicare for Alireza Mahmoudi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alireza Mahmoudi reassigns Medicare benefits to Vitreoretinal Surgery PLLC (Edina, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alireza Mahmoudi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alireza Mahmoudi accept?

Health plans from HealthPartners list Alireza Mahmoudi 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 Alireza Mahmoudi affiliated with any hospitals?

According to CMS data, Alireza Mahmoudi is affiliated with Abbott Northwestern Hospital.

When was this NPI record last updated?

The NPPES record for Alireza Mahmoudi was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.