Keyhan Mobasseri, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

35035275M Issued in OH

Practice address

7211 Broadway Ave
Suite 1
Cleveland, OH 44105-1400

Phone

(216) 441-5474

Fax

(216) 441-3865

NPI assigned

Aug 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Keyhan Marvdashti Former name

Medicare fee-for-service enrollment

Enrolled in OH

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

Obstetrics/GynecologyAlso: Family Practice

Education

Other, 1966

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1144233636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 BROADWAY AVE",
            "address_2": "SUITE 1",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441051400",
            "telephone_number": "216-441-5474",
            "fax_number": "216-441-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 BROADWAY AVE",
            "address_2": "SUITE 1",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441051400",
            "telephone_number": "216-441-5474",
            "fax_number": "216-441-3865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBASSERI",
        "first_name": "KEYHAN",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35035275M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PICAN",
            "identifier": "0419591",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0215172",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEYHAN",
            "last_name": "MARVDASHTI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wadad Sami Mneimneh, MD
• Allison Yiwei Mo, MD
• Hanjie Mo, PHARMD
• Lauren Michelle Moats, REGISTERED NURSE
• Ariya Mobaraki, MD
• Karl E Mobbs, M.D.
• Mobil Martin, Inc.
• Mobile Hyperbaric Centers, LLC
• Mobility Express, LLC
• Shamyka Mobley, QMHS PLUS 3 YEARS

• Obstetrics & Gynecology Physician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Obstetrics & Gynecology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.