Individual provider Active NPI

Kambiz Hassanzadeh, M.D.

  • Diagnostic Radiology Physician
  • Miami, FL
National Provider Identifier
1114012044
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME82741 Issued in FL
Practice address
115 SW 36TH CT
Miami, FL 33135
Phone
(305) 444-2939
Fax
(305) 444-2966
NPI assigned
Oct 4, 2006
Last updated
Jun 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME 82741 FL
Diagnostic Radiology Physician 2085R0202X ME82741 FL Primary

Addresses

Primary practice location

115 SW 36TH CT
Miami, FL 33135

Mailing address

801 Brickell Key Blvd
Apt 601
Miami, FL 33131-3711
Phone (305) 270-6001

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040324001477 FL Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 0446141600 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vital Imaging Diagnostic Centers LLCGroup PAC ID 7315177045, 15 clinicians
Gables Radiology Associates PAGroup PAC ID 6406024223, 5 clinicians

Practice addresses (Care Compare)

1100 NE 125TH St
North Miami, FL 33161-5044
Phone (305) 596-9992

15055 SW 122ND Ave
Miami, FL 33186-5914
Phone (305) 596-9992

3150 Coral Way
Miami, FL 33145-3210
Phone (303) 596-9992

3155 NW 82 Ave
Suite 201
Doral, FL 33122
Phone (305) 596-9992

3155 NW 82ND Ave
Suite 101
Doral, FL 33122-1006
Phone (305) 596-9992

3320 Palm Ave
Hialeah, FL 33012-5241
Phone (305) 596-9992

3333 Palm Ave
Unit 1
Hialeah, FL 33012-5212
Phone (305) 596-9992

7101 SW 99TH Ave
Miami, FL 33173-4661
Phone (305) 596-9992

815 NW 57TH Ave
Suite 100
Miami, FL 33126-2041
Phone (305) 261-0555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 82741FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Vsi Rad LLC Diagnostic Radiology CurrentSince Feb 20, 2018 Accepting new patients
Professional Health Diagnostics, Inc CurrentSince Apr 1, 2020 Accepting new patients
Gables Radiology Associates PA Specialist CurrentSince Nov 1, 2012 Accepting new patients
Elite Imaging LLC Diagnostic Radiology CurrentSince Jan 23, 2023 Accepting new patients
Elite Imaging LLC Diagnostic Radiology CurrentSince Jan 23, 2023 Accepting new patients
Homestead Diagnostic Center Inc Diagnostic Radiology CurrentSince Feb 14, 2012 Accepting new patients
Vital Imaging Diagnostic Centers LLC CurrentSince Jun 1, 2019 Accepting new patients
Gables Mr a PastSince May 1, 2008 Accepting new patients
Partners in Imaging Inc Diagnostic Radiology PastSince Feb 8, 2013 Accepting new patients
Radreads PLLC Diagnostic Radiology Past Accepting new patients
Elite Imaging, LLC Diagnostic Radiology Past Accepting new patients

Locations

2999 NE 191st St
Ste 103
Aventura, FL 33180
Phone (305) 692-2222

1475 W 49th Pl
Hialeah, FL 33012
Phone (305) 204-9318

1215 Dunn Ave
Ste A
Jacksonville, FL 32218
Phone (904) 696-8400

7101 SW 99th Ave
Ste 106
Miami, FL 33173
Phone 3055969992214

7101 SW 99th Ave
Ste 109
Miami, FL 33173
Phone (305) 270-1000

7867 N Kendall Dr
Ste 130
Miami, FL 33156
Phone (305) 274-5959

815 NW 57th Ave
Ste 100
Miami, FL 33126
Phone (305) 261-0555

8300 W Sunrise Blvd
Plantation, FL 33322
Phone (954) 577-6000

5927 SW 70th St
Unit 439031
South Miami, FL 33243
Phone (305) 669-2833

2229 N Commerce Pkwy
Ste 150
Weston, FL 33326
Phone (954) 349-0054

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 11

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1114012044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 BRICKELL KEY BLVD",
            "address_2": "APT 601",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313711",
            "telephone_number": "305-270-6001",
            "fax_number": "305-270-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SW 36TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33135",
            "telephone_number": "305-444-2939",
            "fax_number": "305-444-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSANZADEH",
        "first_name": "KAMBIZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME 82741",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME82741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.