Individual provider Active NPI

Kaveh Asadi-Moghaddam, MD, PHD

  • Neurological Surgery Physician
  • West Palm Beach, FL
National Provider Identifier
1013125913
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME138176 Issued in FL
Practice address
901 45TH Street
Kimmel Building
West Palm Beach, FL 33407
Phone
(561) 844-5255
Fax
(561) 844-5245
NPI assigned
May 21, 2007
Last updated
Jan 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 57.009925 OH
Neurological Surgery Physician 207T00000X 2020040602 MO
Neurological Surgery Physician 207T00000X ME138176 FL Primary

Addresses

Primary practice location

901 45TH Street
Kimmel Building
West Palm Beach, FL 33407

Mailing address

1184 Fern Ave
Orlando, FL 32814-6062
Phone (561) 844-5255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190125002489 FL Practitioner - Neurosurgery 0547400574 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.009925OHMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Feb 4, 2019 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Feb 4, 2019 Accepting new patients
Tenet Florida Physician Services LLC Neurological Surgery CurrentSince Apr 9, 2020 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Apr 9, 2020 Accepting new patients
Tenet Florida Physician Services II, LLC CurrentSince Apr 18, 2022 Accepting new patients
Tenet Florida Physician Services II, LLC CurrentSince Apr 18, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

927 45th St
Ste 301
Mangonia Park, FL 33407
Phone (561) 295-9100

1000 NE 56th St
Oakland Park, FL 33334
Phone (954) 229-8608

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

615 E Princeton St
Ste 101
Orlando, FL 32803
Phone (407) 236-0006

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

Networks

  • FL HMO
  • AL HMO D-SNP
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • FL HMO D-SNP
  • AL HMO
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • FL PPO
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • FL HMO C-SNP

Interoperability endpoints

  • Direct secure messaging: kaveh.asadi-moghaddam.1@13023.direct.athenahealth.com

Organizations & group practices 7

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1013125913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1184 FERN AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146062",
            "telephone_number": "561-844-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 45TH STREET",
            "address_2": "KIMMEL BUILDING",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33407",
            "telephone_number": "561-844-5255",
            "fax_number": "561-844-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASADI-MOGHADDAM",
        "first_name": "KAVEH",
        "name_prefix": "Mr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "57.009925",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MO",
            "license": "2020040602",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME138176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.