Active NPI
Sandeep Khehra-Mirzaei, DPM
- Foot & Ankle Surgery Podiatrist
- Rehoboth Beach, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E1-0000244
- 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, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 62.88
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 75.47
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 489 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E1-0000244 | DE | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beebe Physician Network Inc. | Current | Accepting new patients | |
| Beebe Medical Center, Inc. | Current | 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
- 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.
-
dba Beebe Medical Group
- Internal Medicine Physician
- Lewes, DE
- NPI 1730133992
-
- General Acute Care Hospital
- Lewes, DE
- NPI 1821196486
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Beebe Home Health Agency
- Home Health Agency
- Millsboro, DE
- NPI 1063513075
-
- General Acute Care Hospital
- Lewes, DE
- NPI 1821196486
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; 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.