Individual provider Active NPI

Nooshin Zolfaghari, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fort Lauderdale, FL
National Provider Identifier
1104121870
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
3442 Issued in FL
Practice address
2699 Stirling Rd
Suite A301
Fort Lauderdale, FL 33312-6517
Phone
(954) 278-3890
Fax
(954) 251-1470
NPI assigned
Jan 11, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 3442 FL Primary

Addresses

Primary practice location

2699 Stirling Rd
Suite A301
Fort Lauderdale, FL 33312-6517

Mailing address

14730 SW 4TH St
Pembroke Pines, FL 33027-6107
Phone (954) 899-0520

Other identifiers 2

IdentifierTypeStateIssuer
004505600MedicaidFL
6504NOtherFLBCBS

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120220000485 FL Practitioner - Podiatry 0345417101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20900 Biscayne Blvd
Aventura, FL 33180-1407
Phone (305) 682-7124

2699 Stirling Rd
Suite A301
Fort Lauderdale, FL 33312-6588
Phone (954) 278-3890

Hospital & facility affiliations

  • Haven Home Health Care Home health agency, Fort Lauderdale, FL, CCN 109556
  • Professional Home Services, Inc. Home health agency, Miami Lakes, FL, CCN 107793
  • Memorial Hospital Pembroke Hospital, Pembroke Pines, FL, CCN 100230
  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038
  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281
  • HCA Florida Aventura Hospital Hospital, Aventura, FL, CCN 100131
  • Memorial Hospital Miramar Hospital, Miramar, FL, CCN 100285

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue410
Removal of skin lesions98
Removal of nail tissue464
Skin biopsy11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3442FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Nooshin Zolfaghari D.P.M., P.a. Foot & Ankle Surgery CurrentSince Jun 1, 2011 Accepting new patients

Locations

2699 Stirling Rd
Ste A301
Ft Lauderdale, FL 33312
Phone (786) 942-1283

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

17751 SW 2nd St
Pembroke Pines, FL 33029
Phone (833) 366-8847

Organizations & group practices 1

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.

Hospital & facility affiliations 7

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": "1294704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1104121870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14730 SW 4TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330276107",
            "telephone_number": "954-899-0520",
            "fax_number": "954-437-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2699 STIRLING RD",
            "address_2": "SUITE A301",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126517",
            "telephone_number": "954-278-3890",
            "fax_number": "954-251-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLFAGHARI",
        "first_name": "NOOSHIN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-11",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "3442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004505600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "6504N",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.