Active NPI
Keivan Dehghanpisheh, PH. D. , M.D.
- Rheumatology Physician
- Loxahatchee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- ME92999
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Good Samaritan Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME92999 | FL | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Arthritis & Rheumatology Associates LLC | Rheumatology | Current | Accepting new patients |
| Brett R. Hutton, M.D., P.a. | Rheumatology | Past | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- keivan.dehghanpisheh.p55@direct.aara1.nextgenshare.com
- 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.
-
- Rheumatology Physician
- Jupiter, FL
- NPI 1598205072
-
- Rheumatology Physician
- Boynton Beach, FL
- NPI 1033580709
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Palm Beach, FL
- NPI 1770515991
-
- General Acute Care Hospital
- Jupiter, FL
- NPI 1295721090
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.