Individual provider Active NPI

Morteza Kadkhodai Elyaderani, M.D.

  • Diagnostic Radiology Physician
  • Aliquippa, PA
National Provider Identifier
1013053974
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD038281E Issued in PA
Practice address
2500 Hospital Dr
Aliquippa, PA 15001-2123
Phone
(724) 857-1252
Fax
(724) 857-1254
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD038281E PA Primary

Addresses

Primary practice location

2500 Hospital Dr
Aliquippa, PA 15001-2123

Mailing address

300 S Walnut LN
Suite 100
Beaver, PA 15009-1739
Phone (724) 728-6284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Special Services Cardiology Past Accepting new patients
Brighton Radiology Associates, P.C. Diagnostic Radiology Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17542/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013053974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S WALNUT LN",
            "address_2": "SUITE 100",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150091739",
            "telephone_number": "724-728-6284",
            "fax_number": "724-728-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL DR",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150012123",
            "telephone_number": "724-857-1252",
            "fax_number": "724-857-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELYADERANI",
        "first_name": "MORTEZA",
        "middle_name": "KADKHODAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD038281E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliquippa, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.