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Anahita Rezaie, MD

Gastroenterology · San Jose

NPI 1821294000

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
18
3 carriers
Office
1

Offices

1 location · County of Santa Clara · 1,000 clinicians in this group

Looking this up.

Plans that list them

18 plans · 3 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Rezaie’s office at (408) 885-5000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

18 of 18 plans

Plans whose provider directory lists this clinician
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Harmony (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Honor+ Plan (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health My Choice CalCare (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Silicon (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
SCAN Balance (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
SCAN Classic (HMO)SCAN Health PlanListedOct 3, 2026
SCAN MyChoice (HMO)SCAN Health PlanListedOct 3, 2026
SCAN Strive (HMO C-SNP)SCAN Health PlanListedOct 3, 2026

California Medical Board record

Licence C55510 · Current

Licensed to practise in California · since 2012 · expires 2028-04-30 · Tehran University of Medical Sciences and Health Services.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

State licence records

1 licence

  • Washington MD.MD.00047553Physician And Surgeon License · since 2007 · expires 2024-04-19
    ExpiredNo board action on this licenceCheck it with the state

We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.

Original Medicare doctor bills

$31,341

Medicare paid this office $31,341 for 176 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Removal of polyps or growths of large bowel using an endoscope with mechanical snare35$6,549$187
Initial hospital care with moderate level of medical decision making at least 75 minutes45$5,835$130
Biopsy of large bowel using a flexible endoscope51$4,100$79
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope23$1,866$81
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes15$1,498$94
See all 8 services
Every Original Medicare service billed
Removal of polyps or growths of large bowel using an endoscope with mechanical snare35$6,549$187
Initial hospital care with moderate level of medical decision making at least 75 minutes45$5,835$130
Biopsy of large bowel using a flexible endoscope51$4,100$79
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope23$1,866$81
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes15$1,498$94
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes15$1,375$60
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope16$1,197$75
Injection beneath lining of large bowel using a flexible endoscope13$163$13

Procedures Medicare counted

Procedure volume Medicare published
Colonoscopy24More than 50% of doctors who do this
Upper gastrointestinal (GI) endoscopy for acid reflux49More than 63% of doctors who do this

Who their Medicare patients are

176 Original Medicare patients in 2024. Average age 73 · Under 65 11% · 85 and older 12% · Women 54% · Also on Medicaid 26% · Health risk score 1.62. Above the middle of the specialty; the typical gastroenterology clinician is at 1.42.

Conditions among them: High blood pressure 75% · Diabetes 36% · Coronary heart disease 32% · Depression 31% · Chronic kidney disease 30% · Heart failure 28% · Atrial fibrillation 24% · COPD 23% · Cancer 18% · Stroke 13% · Dementia 12%.

The office billed $186,512, Medicare allowed $38,752 and paid $31,341; for 309 services of 33 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024176309731.62$186,512$31,341
2023135237753.23$111,982$24,464
20225292762.55$41,713$9,547
20213987742.33$78,181$10,015
202049101722.13$48,874$11,762
20192949702.10$21,012$5,420
2018247413702.64$323,972$37,614
2017174265702.26$204,665$24,811
20154787661.33$60,843$9,563
2014194877691.33$254,726$40,366
201380178732.39$79,021$18,153

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 4 services

Original Medicare services billed in 2023
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes88$9,226$105
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope39$3,635$91
Diagnostic exam of large bowel using a flexible endoscope16$2,421$151
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes16$1,226$68

2022: 3 services

Original Medicare services billed in 2022
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes12$1,470$123
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope12$1,207$101
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes15$858$54

2021: 2 services

Original Medicare services billed in 2021
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes29$4,215$145
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes14$1,494$75

2020: 4 services

Original Medicare services billed in 2020
New patient visit (45+ min)15$1,913$128
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes14$1,720$123
New patient visit (60+ min)11$1,117$102
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope14$1,074$77

2018: 11 services

Original Medicare services billed in 2018
Biopsy of large bowel using a flexible endoscope55$7,476$133
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope57$5,111$84
New patient visit (30+ min)74$4,038$55
Removal of polyps or growths of large bowel using an endoscope with mechanical snare18$3,875$215
New patient visit (45+ min)32$3,238$101
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk12$2,332$194
Diagnostic exam of large bowel using a flexible endoscope14$2,092$149
Return visit (30+ min)28$1,870$64
Short return visit (20+ min)29$1,311$42
Long return visit (40+ min)11$871$79
Short return visit17$389$19

2017: 8 services

Original Medicare services billed in 2017
Biopsy of large bowel using a flexible endoscope27$3,873$143
Removal of polyps or growths of large bowel using an endoscope with mechanical snare14$3,112$222
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope32$2,958$92
New patient visit (30+ min)43$2,754$64
New patient visit (15+ min)31$1,311$42
New patient visit (45+ min)11$1,211$110
Short return visit (20+ min)21$953$43
Short return visit14$301$21

2015: 1 service

Original Medicare services billed in 2015
Short return visit (20+ min)12$389$32

2014: 13 services

Original Medicare services billed in 2014
Biopsy of large bowel using a flexible endoscope33$4,736$139
Removal of polyps or growths of large bowel using an endoscope with mechanical snare19$4,725$236
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope40$3,692$92
New patient visit (45+ min)25$3,234$129
Short return visit (20+ min)48$3,186$57
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes27$2,859$106
New patient visit (30+ min)24$2,020$84
Return visit (30+ min)23$2,015$84
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes19$1,919$56
Diagnostic exam of large bowel using a flexible endoscope13$1,790$138
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope18$1,633$91
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes20$737$31
Short return visit14$510$34

2013: 4 services

Original Medicare services billed in 2013
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes55$4,340$79
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes28$2,248$56
Insertion of stomach tube using a flexible endoscope11$2,202$200
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope16$1,867$117

Medicaid work

$1,636 in 2023

Medicaid paid $1,636 for 31 billed services this clinician did in 2023, up to 15 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2023
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES31$1,636
Medicaid work by year
202331115$1,636
2020274725$15,046
2019118517$7,104
See the largest Medicaid services in earlier years

2020

Largest Medicaid services in 2020
New patient visit (45+ min)115$8,878
Upper gastrointestinal endoscopy with biopsy41$2,068
Service41$1,699
TISSUE EXAM BY PATHOLOGIST25$1,271
Service26$944
Injection, midazolam hydrochloride, per 1 mg12$97
Injection, propofol, 10 mg14$90

2019

Largest Medicaid services in 2019
New patient visit (45+ min)42$3,944
Service38$1,827
Upper gastrointestinal endoscopy with biopsy12$699
TISSUE EXAM BY PATHOLOGIST14$588
Injection, midazolam hydrochloride, per 1 mg12$45

Drugs they prescribed that Part D paid

$3,390

Pharmacies billed $3,390 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 0% of their Part D prescriptions (0 of 60) in 2024. At or below the middle of the specialty; the typical gastroenterology clinician is at 0%.

56 generic and fewer than 11 brand-name prescriptions · $3,390 in drug cost.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Pantoprazole11$427$16

Year by year

Part D prescribing by year
202460300% (0)None$3,390
2020133600% (0)11%$9,217
20194462020% (0)28%$149,183
2018390156None24%$161,619
2017519273None15%$70,159
20165733380% (0)12%$81,414
2015474250None17%$107,675
2014202112None46%$23,099
201322None0% (0)None$1,290

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2020: 4 drugs

Part D drugs prescribed in 2020
Sucralfate18$801$45
Pantoprazole20$531$27
Gavilyte-G27$350$13
Omeprazole25$246$10

2019: 6 drugs

Part D drugs prescribed in 2019
Suprep102$10,008$98
Omeprazole116$1,329$11
Pantoprazole50$861$17
Sucralfate33$828$25
Gavilyte-G47$670$14
Prednisone15$113$8

2018: 8 drugs

Part D drugs prescribed in 2018
Xifaxan11$22,590$2,054
Entecavir21$9,745$464
Suprep48$4,483$93
Omeprazole109$1,307$12
Nadolol17$1,212$71
Cholestyramine11$1,168$106
Pantoprazole54$966$18
Sucralfate14$327$23

2017: 10 drugs

Part D drugs prescribed in 2017
Lialda13$18,091$1,392
Zenpep11$10,674$970
Entecavir14$7,500$536
Omeprazole136$2,893$21
Gavilyte-C147$2,511$17
Nadolol13$2,006$154
Suprep22$1,923$87
Pantoprazole49$1,048$21
Sucralfate19$891$47
Lactulose11$563$51

2016: 8 drugs

Part D drugs prescribed in 2016
Xifaxan14$22,676$1,620
Entecavir15$18,433$1,229
Zenpep11$9,986$908
Gavilyte-C252$4,284$17
Omeprazole125$3,745$30
Pantoprazole49$1,103$23
Nadolol11$1,026$93
Sucralfate15$855$57

2015: 4 drugs

Part D drugs prescribed in 2015
Gavilyte-C155$2,635$17
Omeprazole85$2,497$29
Pantoprazole58$859$15
Sucralfate16$742$46

2014: 6 drugs

Part D drugs prescribed in 2014
Suprep27$2,073$77
Omeprazole23$256$11
Pantoprazole18$236$13
Gavilyte-C16$194$12
Peg 3350-Electrolyte15$165$11
Polyethylene Glycol 335011$162$15

Money from drug and device companies

$118 in 2023

Industry payments by year
202314None$118
202212None$53
2020616None$338
2019611None$327

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
ViiV HealthcareCabenuva$118
4 payments
  • Meals for Cabenuva · 2023-05-24 · $25
  • Meals for Cabenuva · 2023-03-16 · $32
  • Meals for Cabenuva · 2023-02-15 · $31
  • Meals for Cabenuva · 2023-01-26 · $30
See all 4 published payments
Every published payment
ViiV HealthcareMeals · 2023-05-24Cabenuva$25
ViiV HealthcareMeals · 2023-03-16Cabenuva$32
ViiV HealthcareMeals · 2023-02-15Cabenuva$31
ViiV HealthcareMeals · 2023-01-26Cabenuva$30
See earlier years (2022, 2020, 2019)

2022: $53

Payments by company in 2022
ViiV HealthcareCabenuva$53
2 payments
  • Meals for Cabenuva · 2022-10-21 · $20
  • Meals for Cabenuva · 2022-08-22 · $34

2020: $338

Payments by company in 2020
Gilead SciencesNone$238
11 payments
  • Meals · 2020-09-30 · $25
  • Meals · 2020-09-17 · $17
  • Meals · 2020-09-09 · $20
  • Meals · 2020-09-01 · $25
  • Meals · 2020-08-18 · $22
  • Meals · 2020-08-04 · $34
  • Meals · 2020-07-29 · $26
  • Meals · 2020-03-10 · $15
  • Meals · 2020-02-11 · $24
  • Meals · 2020-01-21 · $24
  • Meals · 2020-01-15 · $6
RedHill BiopharmaTalicia$29
1 payment
  • Meals for Talicia · 2020-08-26 · $29
Takeda Pharmaceuticals U.S.A.Motegrity$24
1 payment
  • Meals for Motegrity · 2020-02-04 · $24
AbbVieHumira$19
1 payment
  • Meals for Humira · 2020-02-12 · $19
Grifols USAAlbutein$17
1 payment
  • Meals for Albutein · 2020-09-21 · $17
Janssen BiotechStelara$12
1 payment
  • Meals for Stelara · 2020-09-29 · $12

2019: $327

Payments by company in 2019
Janssen Scientific AffairsStelara$124
1 payment
  • Meals for Stelara · 2019-04-30 · $124
Janssen BiotechStelara$68
3 payments
  • Meals for Stelara · 2019-04-30 · $22
  • Meals for Stelara · 2019-03-05 · $25
  • Meals for Stelara · 2019-02-05 · $21
AbbVieCreon$60
3 payments
  • Meals for Humira · 2019-12-16 · $13
  • Meals for Creon · 2019-12-03 · $24
  • Meals for Creon · 2019-10-08 · $24
Gilead SciencesNone$38
2 payments
  • Meals · 2019-11-14 · $18
  • Meals · 2019-01-08 · $20
Takeda Pharmaceuticals U.S.A.Entyvio$22
1 payment
  • Meals for Entyvio · 2019-02-26 · $22
PfizerXeljanz$15
1 payment
  • Meals for Xeljanz · 2019-01-29 · $15

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
80.6 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1821294000
Licence
CA C55510, WA MD00047553California C55510: Current · expires 2028-04-30Washington MD.MD.00047553: Expired
Gender
Female
More record details
Sole proprietor
No
Medicaid ID
WA 8489965
Taxonomy
Federal specialty code 207RG0100X (207RG0100X)
Mailing address
1417 S Westgate Ave Apt 202, Los Angeles, CA, 90025
NPI first listed
2007-06-25
NPI last updated
2021-07-27
NPI record certified
2021-07-27

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 1500 Duarte Rd, Duarte, CA, 91010 · 2202 S Cedar St, Tacoma, WA, 98405