Mehdi Roozbahani, MD

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

70631 Issued in MN

Practice address

9801 Dupont Ave S Ste 110
Bloomington, MN 55431-3179

Phone

(612) 355-6510

Fax

(612) 713-9360

NPI assigned

Jun 25, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Ophthalmology

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minnesota Retina Associates, LLCGroup PAC ID 5698162964, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mroozbahani@uvpmra.intellechartdirect.net
• Direct secure messaging: mroozbahani78552@direct.med.miami.edu

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.

• Minnesota Retina Associates, LLC

  • Retina Specialist (Ophthalmology) Physician
  • Bloomington, MN
  • NPI 1356099352
  Medicare reassignment Care Compare group NPD
• Northwest Eye Clinic, LLC

  • Ophthalmology Physician
  • Golden Valley, MN
  • NPI 1497837306
  Medicare reassignment NPD
• Northwest Eye Clinic, LLC

  • Ophthalmology Physician
  • St. Anthony, MN
  • NPI 1255417002
  NPD

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1093332041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 GOLDEN VALLEY RD STE 330",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274488",
            "telephone_number": "612-355-6510",
            "fax_number": "612-713-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 DUPONT AVE S STE 110",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554313179",
            "telephone_number": "612-355-6510",
            "fax_number": "612-713-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOZBAHANI",
        "first_name": "MEHDI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-25",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "TRN30142",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MN",
            "license": "70631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Marie Romano, PA-C
• David Anthony Romans, D.O.
• Romelle a. Johnson, Clinical Psychology, LLC
• Jennifer Rooney, M.S. - C.C.C.
• Rachel Wolfson Root, MD
• Armand Roper-Thornton
• Alejandra Rosario
• Rose Park Living LLC
• Seth Rosenbaum, M.D.
• Jennifer K Ross

• Retina Specialist (Ophthalmology) Physician in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Retina Specialist (Ophthalmology) Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.

Verify at the official NPI Registry.