Individual provider Active NPI

Sandeep Khehra-Mirzaei, DPM

  • Foot & Ankle Surgery Podiatrist
  • Rehoboth Beach, DE
National Provider Identifier
1215342076
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E1-0000244 Issued in DE
Practice address
18947 John J Williams Hwy Unit 210
Rehoboth Beach, DE 19971
Phone
(302) 645-3121
Fax
(302) 645-3428
NPI assigned
Jun 30, 2014
Last updated
Nov 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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 E1-0000244 DE Primary

Addresses

Primary practice location

18947 John J Williams Hwy Unit 210
Rehoboth Beach, DE 19971

Mailing address

18947 John J Williams Hwy Unit 210
Rehoboth Beach, DE 19971-4476
Phone (302) 645-3121

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20181210000001 DE Practitioner - Podiatry 6800130485 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beebe Physician Network Inc.Group PAC ID 5496744864, 301 clinicians

Practice addresses (Care Compare)

18947 John Willms Hwy
Unit 210
Rehoboth Beach, DE 19971-4476
Phone (302) 645-3121

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80 of 100Reported as group
Quality
62.88
Promoting interoperability
94
Improvement activities
40
Cost
75.47

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue489
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E1-0000244DEMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Beebe Physician Network Inc. CurrentSince May 1, 2019 Accepting new patients
Beebe Medical Center, Inc. CurrentSince Nov 26, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1515 Savannah Rd
Lewes, DE 19958

424 Savannah Rd
Lewes, DE 19958
Phone (302) 441-1078

32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302

18947 John J Williams Hwy
Unit 210
Rehoboth Beach, DE 19971
Phone (302) 645-3121

Interoperability endpoints

  • Direct secure messaging: skhehramirzaei22791@beebehealth.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1215342076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18947 JOHN J WILLIAMS HWY UNIT 210",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714476",
            "telephone_number": "302-645-3121",
            "fax_number": "302-645-3428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18947 JOHN J WILLIAMS HWY UNIT 210",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "19971",
            "telephone_number": "302-645-3121",
            "fax_number": "302-645-3428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHEHRA-MIRZAEI",
        "first_name": "SANDEEP",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "DE",
            "license": "E1-0000244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rehoboth Beach, DE

Sources for this page

Verify at the official NPI Registry.