ALI SEDAGHEH PAKRAVAN M.D.
NPI 1639350622
Internal Medicine - Gastroenterology in Loxahatchee, FL

Q: What is Ali Sedagheh Pakravan's NPI number?

The NPI number for Ali Sedagheh Pakravan is 1639350622. It was assigned to this individual provider in the NPPES registry on November 18, 2007.

Q: What is Ali Sedagheh Pakravan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since November 18, 2007PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

12953 PALMS WEST DR, SUITE 201, LOXAHATCHEE, FL 33470(561) 795-5130(561) 795-4160 Get Directions Write a Review

NPPES record last updated: July 10, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Ali Sedagheh Pakravan M.d. NPPES

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

ALI SEDAGHEH PAKRAVAN M.D. (NPI 1639350622) is an individual gastroenterology provider in Loxahatchee, Florida, licensed in Florida (ME113916) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Palms West Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1639350622

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameALI SEDAGHEH PAKRAVANCredential: M.D.

Location Address12953 PALMS WEST DR, SUITE 201Loxahatchee, FL 33470-4990

Mailing Address12953 Palms West Dr, Suite 201Loxahatchee, FL 33470-4990 · (561) 795-5130 · Fax (561) 795-4160

Phone(561) 795-5130

Fax(561) 795-4160

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateNovember 18, 2007

Last NPPES UpdateJuly 10, 2014

✔ NPI 1639350622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in FL · ME113916

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2007015061 (MO)

12953 PALMS WEST DR, Loxahatchee, FL 33470

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL) and more.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

Ali Sedagheh Pakravan M.d. 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 ID6305087529

PECOS Enrollment IDI20130730000562

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 Ali Sedagheh Pakravan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Palm Beach General Surgery LLC

0.1 mi

Surgery

12983 SOUTHERN BLVD
Loxahatchee, FL 33470

Reassigned Medicare billing, Florida enrollment
67 clinicians in this Medicare group

NPI 1235326760 (561) 439-0961

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 12

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.

269 services120 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

177 services160 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.

131 services103 patients

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.

115 services90 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

82 services81 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

51 services50 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

32 services32 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.

27 services27 patients

Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare 43251

This procedure involves the use of a thin, flexible instrument called an endoscope to visualize and remove abnormal growths, known as polyps, from the esophagus, stomach, or upper small bowel. A tool called a mechanical snare is used to safely cut and remove these growths.

19 services19 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

16 services16 patients

Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43255

This procedure involves using a flexible tube with a light, called an endoscope, to examine and treat bleeding in the esophagus, stomach, or upper small bowel. It's a safe, effective way to control bleeding and ensure your digestive health.

14 services12 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Florida Palms West Hospital

Acute Care Hospitals · Loxahatchee, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100269

Location13001 Southern BlvdLoxahatchee, FL 33470 · Palm Beach County

Emergency services Birthing friendly

Good Samaritan Medical Center

Acute Care Hospitals · West Palm Beach, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100287

Location1309 N Flagler DrWest Palm Beach, FL 33401 · Palm Beach County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33470 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

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

e-Prescribing

86%601 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

100%541 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

PALMS WEST OB-GYN ASSOCIATES PA

Obstetrics & Gynecology

12953 PALMS WEST DR, SUITE 101 BLDG 6
LOXAHATCHEE, FL 33470

Palm Beach County (561) 795-2400

DR. ADOLFO L COLMAN MD

Family Medicine

12953 PALMS WEST DR, SUITE 102
LOXAHATCHEE, FL 33470

Palm Beach County (561) 793-1713

MELINDA MARIE BLOM PA-C

Physician Assistant

12953 PALMS WEST DR, SUITE 201
LOXAHATCHEE, FL 33470

Palm Beach County (561) 795-5130

MR. CARLOS M. PERNAS JR. P.A.

Physician Assistant

12953 PALMS WEST DR, SUITE 201
LOXAHATCHEE, FL 33470

Palm Beach County (561) 790-2111

RAUL CARLOS VALDESCRUZ MD

Obstetrics & Gynecology

12953 PALMS WEST DR, BLDG 6 SUITE 101
LOXAHATCHEE, FL 33470

Palm Beach County (561) 795-2400

PALM BEACH UROLOGY ASSOCIATES PA

Urology

12953 PALMS WEST DR, SUITE 201
LOXAHATCHEE, FL 33470

Palm Beach County (561) 790-2111

METCARE OF FLORIDA INC.

Family Medicine

12953 PALMS WEST DR, SUITE 102
LOXAHATCHEE, FL 33470

Palm Beach County (561) 793-1713

DR. JAMES JUSTIN GOAD M.D.

Surgery

12953 PALMS WEST DR, SUITE 201
LOXAHATCHEE, FL 33470

Palm Beach County (561) 795-5130

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 Sedagheh Pakravan's NPI number?

The NPI number for Ali Sedagheh Pakravan is 1639350622. It was assigned to this individual provider in the NPPES registry on November 18, 2007.

Where is Ali Sedagheh Pakravan located?

Ali Sedagheh Pakravan practices at 12953 Palms West Dr Suite 201, Loxahatchee, FL 33470. The listed phone number is (561) 795-5130.

What is Ali Sedagheh Pakravan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Ali Sedagheh Pakravan enrolled in Medicare?

Yes. Ali Sedagheh Pakravan 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 Ali Sedagheh Pakravan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ali Sedagheh Pakravan reassigns Medicare benefits to Palm Beach General Surgery LLC (Loxahatchee, FL). 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 Ali Sedagheh Pakravan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ali Sedagheh Pakravan accept?

Health plans from AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Ali Sedagheh Pakravan 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 Ali Sedagheh Pakravan affiliated with any hospitals?

According to CMS data, Ali Sedagheh Pakravan is affiliated with Hca Florida Palms West Hospital and Good Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Ali Sedagheh Pakravan was last updated on July 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.