HEIDI GOODARZI, MD, INC
NPI 1689319204
Dermatology in Orange, CA
About Heidi Goodarzi, Md, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEIDI GOODARZI, MD, INC (NPI 1689319204) is a healthcare organization registered as a dermatology in Orange, California and active in the NPI registry since April 2022. The organization maintains a secondary practice location in Newport Beach and lists Heidi Goodarzi, President/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Heidi Goodarzi, Md, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Heidi Goodarzi, MD, Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Heidi Goodarzi, MD, Inc's NPI number?
The NPI number for Heidi Goodarzi, MD, Inc is 1689319204. It was assigned to this organization in the NPPES registry on April 28, 2022.
Where is Heidi Goodarzi, MD, Inc located?
Heidi Goodarzi, MD, Inc is located at 1310 W Stewart Dr Ste 507, Orange, CA 92868. The listed phone number is (949) 679-1990.
What is Heidi Goodarzi, MD, Inc's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Heidi Goodarzi, MD, Inc enrolled in Medicare?
Yes. Heidi Goodarzi, MD, Inc is registered in the Medicare PECOS enrollment system.
When is Heidi Goodarzi, MD, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Heidi Goodarzi, MD, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Heidi Goodarzi, MD, Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Heidi Goodarzi, MD, Inc was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Heidi Goodarzi, Md, Inc · NPI 1689319204
Dermatology organization in Orange, California. Organization record, active in the CMS NPPES registry since April 28, 2022.
## Identity
- **NPI:** 1689319204 (Entity type: Organization)
- **Enumerated:** April 28, 2022
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Heidi Goodarzi, PRESIDENT/OWNER
## Practice location
- **Address:** 1310 W STEWART DR STE 507, Orange, CA 92868-3856
- **Phone:** (949) 679-1990 · **Fax:** (949) 430-0336
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Dermatology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 12, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1689319204) · Data from the CMS NPPES public registry.