Individual provider Active NPI

Sanam Zahedi, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Fort Lauderdale, FL
National Provider Identifier
1215357215
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
ME154600 Issued in FL
Practice address
407 SE 24TH St
Fort Lauderdale, FL 33316-3915
Phone
(954) 463-5208
Fax
(954) 463-5288
NPI assigned
Apr 17, 2014
Last updated
Jan 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X ME154600 FL Primary

Addresses

Primary practice location

407 SE 24TH St
Fort Lauderdale, FL 33316-3915

Mailing address

416 SW 1St Ave Apt 503
Fort Lauderdale, FL 33301-4417
Phone (954) 463-5208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220526000482 FL Practitioner - Plastic and Reconstructive Surgery 1759769102 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Florida State University College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2390 NE 186TH St
Suite 3
Miami, FL 33180-2908
Phone (305) 400-9905

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Essie Yates MD PA Plastic Surgery CurrentSince Jul 1, 2022 Accepting new patients
Zahedi Plastic Surgery Plastic and Reconstructive Surgery CurrentSince Feb 1, 2025 Accepting new patients

Locations

407 SE 24th St
Ft Lauderdale, FL 33316
Phone (954) 463-5208

717 SE 2nd St
Ft Lauderdale, FL 33301
Phone (954) 463-5208

2390 NE 186th St
Ste 3
Miami, FL 33180
Phone (305) 400-9905

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

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": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1215357215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 SW 1ST AVE APT 503",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333014417",
            "telephone_number": "954-463-5208",
            "fax_number": "954-463-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 SE 24TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333163915",
            "telephone_number": "954-463-5208",
            "fax_number": "954-463-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAHEDI",
        "first_name": "SANAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-17",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME154600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.