DR. ALIREZA PIRESTANI D.O.
NPI 1962632364
Family Medicine in Bear, DE

Active since July 20, 2009PECOS EnrolledAccepts Medicare Assignment
404 FOX HUNT DR, BEAR, DE 19701(302) 652-2455(302) 322-6201 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2021, Aug 16, 2018 (2 updates tracked since 2018).

About Dr. Alireza Pirestani D.o. NPPES

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

DR. ALIREZA PIRESTANI D.O. (NPI 1962632364) is an individual family medicine provider in Bear, Delaware, licensed in Delaware (C2-0010489) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2009).

NPPES Registry Identity

NPI1962632364
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ALIREZA PIRESTANICredential: D.O.
Location Address404 FOX HUNT DRBear, DE 19701
Mailing AddressPo Box 151New Castle, DE 19720-0151 · (302) 652-2455 · Fax (302) 322-6251
Fax(302) 322-6201
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2009
Enumeration DateJuly 20, 2009
Last NPPES UpdateDecember 3, 20212 updates tracked since enumeration
NPPES CertifiedDecember 3, 2021
NPI 1962632364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in DE · C2-0010489
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125-056572 (IL), C2-0010489 (DE)
Also ListedPediatricsTaxonomy 208000000X · License C2-0010489 (DE), 125-056572 (IL)
404 FOX HUNT DR, Bear, DE 19701

Accepted 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. Alireza Pirestani D.o. 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 ID1658515309
PECOS Enrollment IDI20131029000719
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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
14 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19701 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers24 claims81 services$4.48 avg. paid by Medicare
Residual limb support system for wheelchair, any type E1020
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$11.23 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
7 suppliers21 claims21 services$187.25 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier11 claims11 services$122.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Family)
404 FOX HUNT DR
BEAR, DE 19701
Nurse Practitioner (Family)
404 FOX HUNT DR, FOX RUN SHOPPING CENTER
BEAR, DE 19701
Nurse Practitioner
404 FOX HUNT DR
BEAR, DE 19701
Nurse Practitioner (Women's Health)
404 FOX HUNT DR
BEAR, DE 19701
Nurse Practitioner (Primary Care)
404 FOX HUNT DR
BEAR, DE 19701
Nurse Practitioner
404 FOX HUNT DR
BEAR, DE 19701

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 Pirestani's NPI number?

The NPI number for Alireza Pirestani is 1962632364. It was assigned to this individual provider in the NPPES registry on July 20, 2009.

Where is Alireza Pirestani located?

Alireza Pirestani practices at 404 Fox Hunt Dr, Bear, DE 19701. The listed phone number is (302) 652-2455.

What is Alireza Pirestani's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Alireza Pirestani enrolled in Medicare?

Yes. Alireza Pirestani 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 Alireza Pirestani accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Alireza Pirestani 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.

When was this NPI record last updated?

The NPPES record for Alireza Pirestani was last updated on December 3, 2021. 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.