NPIMap

Individual provider Active NPI

Mozhgan Alijani, DPM

  • Foot & Ankle Surgery Podiatrist
  • Miami, FL
National Provider Identifier
1194209015
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3980 Issued in FL
Practice address
2500 SW 75TH Ave
Miami, FL 33155-2895
Phone
(305) 264-5252
NPI assigned
Sep 17, 2018
Sex
Female
Sole proprietor
No

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 25

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

View all 25

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1190 NW 95TH St
Suite 104
Miami, FL 33150-2064
Phone (305) 693-5550

Hospital & facility affiliations

  • North Shore Medical Center Hospital, Miami, FL, CCN 100029
  • Jackson Health System Hospital, Miami, FL, CCN 100022

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue390
Removal of skin lesions1-10
Removal of nail tissue617
Removal or shaving of skin growth1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190703000198 FL Practitioner - Podiatry 1850625302 Reassigns benefits to 1 organization
Practice locations: Plantation, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3980FLMDFoot & Ankle Surgery Podiatrist

Practice roles (2 of 4)

OrganizationSpecialtyStatusNew patients
Mozhgan Alijani, DPM, PA Foot & Ankle Surgery CurrentSince Jun 26, 2021 Accepting new patients
Galaxy Wellness & Ortho-Spine Center LLC CurrentSince Oct 16, 2020 Accepting new patients

Locations

9774 SW 24th St
Miami, FL 33165
Phone (305) 220-3600

1190 NW 95th St
Ste 104
Miami, FL 33150
Phone (305) 693-5550

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIBCDD/Endpoint/AIBCDD

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO3980 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

2500 SW 75TH Ave
Miami, FL 33155-2895

Mailing address

2500 SW 75TH Ave
Miami, FL 33155-2895
Phone (305) 264-5252

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
101713000MedicaidFL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 21, 2024.

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1194209015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 SW 75TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552895",
            "telephone_number": "305-264-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 SW 75TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552895",
            "telephone_number": "305-264-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIJANI",
        "first_name": "MOZHGAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-17",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101713000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.