Fred Rezvani
NPI 1104887694ActiveIndividual· Specialist· Ridgewood, NJ
Opted out of Medicare from October 2021 to October 2027. Specialist in Ridgewood, New Jersey, licensed in NJ, with an NPI issued in April 2006. Part D covered 40 prescriptions written in 2024, 83% of them generic. Astellas Pharma US Inc was the largest of 5 companies reporting payments in 2025, $136.57 in all, mostly food and beverage.
Overview
| NPI | 1104887694 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 1, 2006 |
| Last updated in NPPES | May 6, 2025 |
| Certified by provider | May 6, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 25MA05115800 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Oct 4, 2021 – Oct 4, 2027 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 40 · 91 30-day fills |
|---|---|
| Total drug cost | $5,228 |
| Generic share | 83% of claims |
Industry payments (Open Payments)
- 2025$136.57 · 7 payments from 5 companies
- 2024$55.39 · 5 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astellas Pharma US Inc | $60.45 | 3 |
| Organon LLC | $23.32 | 1 |
| Sumitomo Pharma America, Inc. | $19.79 | 1 |
| Exeltis, USA Inc. | $18.69 | 1 |
| Coopersurgical, Inc. | $14.32 | 1 |
What the 2025 payments were for
- Food and Beverage$136.57 · 7 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 33 Specialist providers in Ridgewood · All Specialist providers in New Jersey