Individual provider Active NPI

Mostafa Niknafs, DPM

  • Foot & Ankle Surgery Podiatrist
  • Athens, GA
National Provider Identifier
1194701839
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
528 Issued in GA
Practice address
1010 Prince Ave
Suite 180
Athens, GA 30606-5805
Phone
(706) 548-2544
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 528 GA Primary

Addresses

Primary practice location

1010 Prince Ave
Suite 180
Athens, GA 30606-5805

Mailing address

1010 Prince Ave
Suite 180
Athens, GA 30606-5805
Phone (706) 548-2544

Other identifiers 2

IdentifierTypeStateIssuer
00299637BMedicaidGA
4201900002OtherGADME

Other names 1

  • Dr. M.Niknafs Podiatrist PC Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071101000361 CA Practitioner - Podiatry 3173610573 Reassigns benefits to 1 organization
I20110322000957 GA Practitioner - Podiatry 3173610573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peter Jahangir Parker M D IncGroup PAC ID 5698745453, 2 clinicians

Practice addresses (Care Compare)

1100 W Glenoaks Blvd
Glendale, CA 91202-2606

1106 W Glenoaks Blvd
Glendale, CA 91202-2606
Phone (818) 546-2626

170 Hawthorne Park
Athens, GA 30606-2147
Phone (706) 548-2544

Hospital & facility affiliations

  • Piedmont Athens Regional Medical Center Hospital, Athens, GA, CCN 110074

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue90
Removal of skin lesions62
Removal of nail tissue659
Removal or shaving of skin growth1-10
Skin biopsy34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
528GAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr.M.Niknafs Podiatrist PC Foot & Ankle Surgery CurrentSince Nov 9, 1995 Accepting new patients
Nation Wide Foot & Ankle Surgeons LLC Foot & Ankle Surgery Past Accepting new patients
Glenoaks Urgent Care Medical Group, Inc. Past Accepting new patients
Peter Jahangir Parker, MD, Inc. PastSince May 22, 2022 Accepting new patients

Locations

170 Hawthorne Park
Athens, GA 30606
Phone (706) 548-2544

170 Hawthorne Park
Ste 180
Athens, GA 30606

Organizations & group practices 5

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 1

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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1194701839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 PRINCE AVE",
            "address_2": "SUITE 180",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306065805",
            "telephone_number": "706-548-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 PRINCE AVE",
            "address_2": "SUITE 180",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306065805",
            "telephone_number": "706-548-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKNAFS",
        "first_name": "MOSTAFA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00299637B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "4201900002",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M.NIKNAFS",
            "last_name": "PODIATRIST PC",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.