Individual provider Active NPI

Reza Alaghehbandan, MD, MSC, FRCPC

  • Anatomic Pathology Physician
National Provider Identifier
1265177646
Registry record updated May 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
35.144518 Issued in OH
Practice address
330 E Columbia St
New Westminster, BRITISH COLUMBIA V3E0G9
CA
Phone
(604) 520-4747
NPI assigned
May 1, 2022
Last updated
May 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 35.144518 OH Primary

Addresses

Primary practice location

330 E Columbia St
New Westminster, BRITISH COLUMBIA V3E0G9
CA

Mailing address

52-1295 Soball St
Coquitlam, CA V3E0G9
CA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20220707000786 OH Practitioner - Pathology 7810377900 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 636-1768

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.144518OHMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wooster Clinic, LLC CurrentSince May 25, 2022 Accepting new patients
The Cleveland Clinic Foundation CurrentSince May 25, 2022 Accepting new patients
The Cleveland Clinic Foundation Anatomic Pathology CurrentSince May 25, 2022 Accepting new patients

Locations

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

18901 Lake Shore Blvd
Euclid, OH 44119
Phone (216) 531-9000

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500

721 E Milltown Rd
Wooster, OH 44691
Phone (330) 287-4500

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 5

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": "1651363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651363200000",
    "number": "1265177646",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "52-1295 SOBALL ST",
            "city": "COQUITLAM",
            "state": "CA",
            "postal_code": "V3E0G9"
        },
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "330 E COLUMBIA ST",
            "city": "NEW WESTMINSTER",
            "state": "BRITISH COLUMBIA",
            "postal_code": "V3E0G9",
            "telephone_number": "604-520-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAGHEHBANDAN",
        "first_name": "REZA",
        "name_prefix": "Dr.",
        "credential": "MD, MSC, FRCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-01",
        "last_updated": "2022-05-01",
        "certification_date": "2022-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "OH",
            "license": "35.144518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.