Individual provider Active NPI

Keivan Dehghanpisheh, PH. D. , M.D.

  • Rheumatology Physician
  • Loxahatchee, FL
National Provider Identifier
1164585766
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
ME92999 Issued in FL
Practice address
12955 Palms West Dr Ste 203
Loxahatchee, FL 33470-9217
Phone
(561) 899-0762
Fax
(833) 217-6176
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X ME92999 FL Primary

Addresses

Primary practice location

12955 Palms West Dr Ste 203
Loxahatchee, FL 33470-9217

Mailing address

12955 Palms West Dr Ste 203
Loxahatchee, FL 33470-9217
Phone (561) 899-0762

Other practice location 1

210 Jupiter Lakes Blvd Ste 203
Jupiter, FL 33458-7188
Phone (561) 899-0762

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
I20050913000057 FL Practitioner - Rheumatology 0042243982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Oregon Health Sciences University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Arthritis and Rheumatology Associates LLCGroup PAC ID 0840575007, 66 clinicians

Practice addresses (Care Compare)

1004 S Old Dixie Hwy
Suite 303
Jupiter, FL 33458-7200
Phone (561) 747-1987

Hospital & facility affiliations

  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253
  • Good Samaritan Medical Center Hospital, West Palm Beach, FL, CCN 100287

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME92999FLMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Arthritis & Rheumatology Associates LLC Rheumatology CurrentSince May 1, 2017 Accepting new patients
Brett R. Hutton, M.D., P.a. Rheumatology PastSince Dec 1, 2021 Accepting new patients

Locations

2255 Glades Rd
Ste 228W
Boca Raton, FL 33431
Phone (561) 699-7101

1831 N Belcher Rd
Ste D2
Clearwater, FL 33765
Phone (727) 734-6631

1004 S Old Dixie Hwy
Ste 303
Jupiter, FL 33458
Phone (561) 263-5775

210 Jupiter Lakes Blvd
Ste 203
Jupiter, FL 33458
Phone (561) 427-6550

12977 Southern Blvd
Ste 203
Loxahatchee, FL 33470
Phone (561) 469-6401

12977 Southern Blvd
Ste 200
Loxahatchee, FL 33470
Phone (561) 747-1987

12955 Palms West Dr
Ste 203
Loxahatchee, FL 33470
Phone (561) 231-5200

1855 Veterans Park Dr
Ste 103
Naples, FL 34109
Phone (239) 331-5114

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: keivan.dehghanpisheh.p55@direct.aara1.nextgenshare.com
  • Direct secure messaging: kdehghanpisheh19636@jupitermedicalcenter.direct-ci.com

Organizations & group practices 2

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 2

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1164585766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12955 PALMS WEST DR STE 203",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709217",
            "telephone_number": "561-899-0762",
            "fax_number": "833-217-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12955 PALMS WEST DR STE 203",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709217",
            "telephone_number": "561-899-0762",
            "fax_number": "833-217-6176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Jupiter Lakes Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334587188",
            "country_code": "US",
            "telephone_number": "561-899-0762",
            "fax_number": "833-217-6176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEHGHANPISHEH",
        "first_name": "KEIVAN",
        "name_prefix": "Dr.",
        "credential": "PH. D. , M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME92999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

Verify at the official NPI Registry.