Active NPI
Mohsen Soofian, D.O.
- Family Medicine Physician
- South Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS16766
- Practice address
- 7031 SW 62ND Ave
South Miami, FL 33143-4701 - Phone
- (206) 898-1317
- NPI assigned
- May 27, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 295215 | NY | |
| General Practice Physician | 208D00000X | DO.1791 | AL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | WA | ||
| Family Medicine Physician | 207Q00000X | OS16766 | FL | Primary |
Addresses
Primary practice location
7031 SW 62ND Ave
South Miami, FL 33143-4701
Mailing address
7031 SW 62ND Ave
South Miami, FL 33143-4701
Other practice location 1
98-1247 Kaahumanu St Ste 116
Aiea, HI 96701-5300
Phone (808) 341-4747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, FL, HI, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO.1791 | AL | MD | General Practice Physician |
| 21381 | CA | MD | Physical Therapist |
| 1791 | AL | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CTD Network LLC | General Practice | Current | Accepting new patients |
| Openloop Healthcare Partners California PC | General Practice | Current | Accepting new patients |
| Openloop Healthcare Partners California PC | General Practice | Current | Accepting new patients |
| Signify Health, LLC | General Practice | Current | Accepting new patients |
| Openloop Healthcare Partners PC | General Practice | Current | Accepting new patients |
Locations
4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280
1430 Gadsden Hwy
Ste 116805
Birmingham, AL 35235
2100 Southbridge Pkwy
Ste 650
Homewood, AL 35209
Phone (205) 533-8902
2121 E Coast Hwy
Ste 270
Corona del Mar, CA 92625
Phone (949) 694-4937
8270 Woodland Center Blvd
Tampa, FL 33614
Phone (305) 449-9219
500 Ala Moana Blvd
Ste 7400
Honolulu, HI 96813
Phone (617) 823-6490
317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097
442 5th Ave
#2115
New York, NY 10018
28 Liberty St
New York, NY 10005
Phone (415) 205-1229
80 Broad St
Fl 5
New York, NY 10004
Phone (201) 286-1122
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Plant City, FL
- NPI 1851039762
AL, General Practice, NY
-
- Plastic and Reconstructive Surgery Physician
- Los Angeles, CA
- NPI 1598418063
General Practice
-
- General Practice Physician
- Palm Desert, CA
- NPI 1659042331
-
- General Practice Physician
- Des Moines, IA
- NPI 1245820661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1265880520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7031 SW 62ND AVE",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331434701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7031 SW 62ND AVE",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331434701",
"telephone_number": "206-898-1317"
}
],
"practiceLocations": [
{
"address_1": "98-1247 Kaahumanu St Ste 116",
"address_purpose": "LOCATION",
"city": "Aiea",
"state": "HI",
"postal_code": "967015300",
"country_code": "US",
"telephone_number": "808-341-4747",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOOFIAN",
"first_name": "MOHSEN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-27",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "295215",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AL",
"license": "DO.1791",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WA",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS16766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.