Allen Mirzaei, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

E1-0000235 Issued in DE

Practice address

543 N Shipley St
Suite C
Seaford, DE 19973-2339

Phone

(302) 629-3000

Fax

(302) 629-3080

NPI assigned

Oct 3, 2013

Last updated

Sep 28, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

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

Specialty

Podiatry

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Delaware Foot and Ankle LLCGroup PAC ID 5092705749, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beebe Hospital Home Health Home health agency, Millsboro, DE, CCN 087023
• Beebe Medical Center Hospital, Lewes, DE, CCN 080007
• Tidalhealth Nanticoke, Inc. Hospital, Seaford, DE, CCN 080006

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

98.42

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amirzaei23077@beebehealth.direct-ci.com

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.

• Southern Delaware Foot & Ankle LLC

  • Foot & Ankle Surgery Podiatrist
  • Seaford, DE
  • NPI 1548301005

  Primary Podiatric Medicine

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Beebe Medical Center, Inc.

  dba Beebe Home Health Agency

  • Home Health Agency
  • Millsboro, DE
  • NPI 1063513075
  Care Compare affiliation
• Beebe Medical Center, Inc.

  • General Acute Care Hospital
  • Lewes, DE
  • NPI 1821196486
  Care Compare affiliation
• Tidalhealth Nanticoke, Inc

  • General Acute Care Hospital
  • Seaford, DE
  • NPI 1245214477
  Care Compare affiliation

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1164859336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 N SHIPLEY ST",
            "address_2": "SUITE C",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199732339",
            "telephone_number": "302-629-3000",
            "fax_number": "302-629-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 N SHIPLEY ST",
            "address_2": "SUITE C",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199732339",
            "telephone_number": "302-629-3000",
            "fax_number": "302-629-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZAEI",
        "first_name": "ALLEN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-03",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "DE",
            "license": "E1-0000235",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006482",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "DE",
            "license": "E1-0000235",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anastasia S. Mikhno, MD
• Milestones Consultants
• Milestones Consultants LLC
• Samuel K. Miller, M.D.
• Titus Mims Jr.
• Courtney Mishler, PA-C
• Alessandra-Anna Micheli Monaghan, FNP
• Nina Marie Morales-Perez, PHD
• Frances Faith Morthole, APRN, BC, FNP
• Mir Mousavi, MD

• Primary Podiatric Medicine Podiatrist in Seaford, DE
• Providers in Seaford, DE by specialty
• Primary Podiatric Medicine Podiatrist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.