Individual provider Active NPI

Soheil Nafeei, M.D.

  • Emergency Medicine Physician
  • Hummelstown, PA
National Provider Identifier
1023300696
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MT198932 Issued in PA
Practice address
1983 Gramercy PL
Hummelstown, PA 17036-7051
Phone
(301) 351-1121
NPI assigned
May 13, 2011
Last updated
Jul 17, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MT198932 PA Primary

Addresses

Primary practice location

1983 Gramercy PL
Hummelstown, PA 17036-7051

Mailing address

1983 Gramercy PL
Hummelstown, PA 17036-7051
Phone (301) 351-1121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20150213001988 CA Practitioner - Emergency Medicine 3274750013 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Jude Emergency Medical Group IncGroup PAC ID 8224923479, 20 clinicians

Practice addresses (Care Compare)

101 E Valencia Mesa Dr
Fullerton, CA 92835-3809
Phone (714) 871-3280

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
133098CAMDMarriage & Family Therapist
MT198932PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Emergency Medicine Current Accepting new patients
Chase Dennis Emergency Medical Group Inc Emergency Medicine CurrentSince Apr 15, 2015 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Apr 1, 2016 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Cep America-California Emergency Medicine CurrentSince Apr 1, 2016 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Aug 1, 2016 Accepting new patients
St Jude Emergency Medical Group Inc Emergency Medicine CurrentSince Jun 20, 2016 Accepting new patients

Locations

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

1650 Creekside Dr
Folsom, CA 95630
Phone (916) 983-7400

101 E Valencia Mesa Dr
Fullerton, CA 92835
Phone (714) 446-7505

12601 Garden Grove Blvd
Garden Grove, CA 92843
Phone (714) 537-5160

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000

2825 Capitol Ave
Sacramento, CA 95816
Phone (916) 887-0000

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

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 2

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": "1305244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1023300696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 GRAMERCY PL",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170367051",
            "telephone_number": "301-351-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1983 GRAMERCY PL",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170367051",
            "telephone_number": "301-351-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAFEEI",
        "first_name": "SOHEIL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-13",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MT198932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hummelstown, PA

Sources for this page

Verify at the official NPI Registry.