Individual provider Active NPI

Behnaz Rouhani, M.D.

  • Ophthalmology Physician
  • Philadelphia, PA
National Provider Identifier
1205157484
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A145055 Issued in CA
Practice address
1427 Vine St
Philadelphia, PA 19102-1031
Phone
(215) 762-1490
NPI assigned
Jun 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A145055 CA Primary

Addresses

Primary practice location

1427 Vine St
Philadelphia, PA 19102-1031

Mailing address

24401 Calle de la Louisa
Ste 300
Laguna Hills, CA 92653-3625
Phone (949) 951-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20181104000021 CA Practitioner - Ophthalmology 9739498239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

665 Camino de Los Mares
Suite 102 103
San Clemente, CA 92673-2859
Phone (949) 951-2020

Merit-based Incentive Payment System (MIPS)

Final score
80.67 of 100Reported as group
Quality
93.87
Promoting interoperability
100
Improvement activities
40
Cost
41.69

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery241

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A145055CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harvard Eye Associates Ophthalmology CurrentSince Sep 15, 2018 Accepting new patients
Alicia Surgery Center LLC Past Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients

Locations

23961 Calle de la Magdalena
Ste 300
Laguna Hills, CA 92653
Phone (949) 837-1891

25211 Paseo de Alicia
Ste 100
Laguna Hills, CA 92653
Phone (949) 900-3480

1010 W La Veta Ave
Ste 175
Orange, CA 92868
Phone (714) 633-5696

1801 W Olympic Blvd
#2096
Pasadena, CA 91199

665 Camino de los Mares
Ste 102
San Clemente, CA 92673
Phone (714) 493-7330

665 Camino de los Mares
Ste 102103
San Clemente, CA 92673
Phone (949) 951-2020

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1205157484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24401 CALLE DE LA LOUISA",
            "address_2": "STE 300",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533625",
            "telephone_number": "949-951-2020",
            "fax_number": "949-356-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 VINE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021031",
            "telephone_number": "215-762-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUHANI",
        "first_name": "BEHNAZ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A145055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.