Active NPI
Kaveh Asadi-Moghaddam, MD, PHD
- Neurological Surgery Physician
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- ME138176
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 57.009925 | OH | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Tenet Florida Physician Services LLC | Neurological Surgery | Current | Accepting new patients |
| Tenet Florida Physician Services, LLC | Current | Accepting new patients | |
| Tenet Florida Physician Services II, LLC | Current | Accepting new patients | |
| Tenet Florida Physician Services II, LLC | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- West Palm Beach, FL
- NPI 1912266420
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
- Surgery Physician
- West Palm Beach, FL
- NPI 1659417467
Neurological Surgery
-
dba Rothman Orthopaedics AdventHealth Medical Group at Minneola
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
dba Cantor Spine Center-At The Paley Orthopedic & Spine Institute
- Durable Medical Equipment & Medical Supplies
- Boca Raton, FL
- NPI 1770391286
-
- Physical Therapist
- West Palm Beach, FL
- NPI 1699111211
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Mary's Medical Center
- General Acute Care Hospital
- West Palm Beach, FL
- NPI 1952333205
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.