Individual provider Active NPI

Mojgan Hosseinipour, DO

  • Dermatology Physician
  • Miami, FL
National Provider Identifier
1033570122
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS17559 Issued in FL
Practice address
1201 NW 16TH St
Miami, FL 33125-1624
Phone
(305) 575-7000
NPI assigned
Mar 16, 2016
Last updated
Sep 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 18195 CA
Dermatology Physician 207N00000X OS17559 FL Primary

Addresses

Primary practice location

1201 NW 16TH St
Miami, FL 33125-1624

Mailing address

1201 NW 16TH St
Miami, FL 33125-1624
Phone (305) 575-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200811000533 CA Practitioner - Dermatology 4981029741 Reassigns benefits to 2 organizations
I20210512002995 FL Practitioner - Dermatology 4981029741 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions166
Skin biopsy60

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS17559FLMDDermatology Physician
18195CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
South Coast Dermatology Institute, a Medical Corporation Dermatology CurrentSince Sep 1, 2020 Accepting new patients
Uci Department of Dermatology Dermatology CurrentSince Dec 1, 2020 Accepting new patients
Dermatology Associates of the Palm Beaches PLLC Dermatology CurrentSince Jun 1, 2021 Accepting new patients
Vitalmd Group Holding LLC Dermatology CurrentSince May 15, 2023 Accepting new patients
J. Robert West, M.D., Inc Dermatology Past Accepting new patients
Norman Minars, MD, PA Past Accepting new patients

Locations

400 Newport Center Dr
Ste 602
Newport Beach, CA 92660
Phone (949) 644-1434

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

2552 Walnut Ave
Ste 120
Tustin, CA 92780
Phone (714) 508-0754

4060 Sheridan St
Ste C
Hollywood, FL 33021
Phone (954) 987-6200

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

120 Butler St
Ste A
West Palm Beach, FL 33407
Phone (561) 659-1510

1551 Forum Pl
Ste 100A
West Palm Beach, FL 33401
Phone (561) 659-1510

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1033570122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 NW 16TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251624",
            "telephone_number": "305-575-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NW 16TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251624",
            "telephone_number": "305-575-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSSEINIPOUR",
        "first_name": "MOJGAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-16",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "18195",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS17559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.