Individual provider Active NPI

Siavash Zolghadri, MD

  • Gastroenterology Physician
  • Reading, PA
National Provider Identifier
1285619882
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD034494L Issued in PA
Practice address
6 Hearthstone CT
Suite 303
Reading, PA 19606-3065
Phone
(610) 779-4449
Fax
(610) 779-0677
NPI assigned
Dec 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD034494L PA Primary

Addresses

Primary practice location

6 Hearthstone CT
Suite 303
Reading, PA 19606-3065

Mailing address

6 Hearthstone CT
Suite 303
Reading, PA 19606-3065
Phone (610) 779-4449

Other identifiers 1

IdentifierTypeStateIssuer
0006597170003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD034494LPAMDGastroenterology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1285619882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HEARTHSTONE CT",
            "address_2": "SUITE 303",
            "city": "READING",
            "state": "PA",
            "postal_code": "196063065",
            "telephone_number": "610-779-4449",
            "fax_number": "610-779-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HEARTHSTONE CT",
            "address_2": "SUITE 303",
            "city": "READING",
            "state": "PA",
            "postal_code": "196063065",
            "telephone_number": "610-779-4449",
            "fax_number": "610-779-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLGHADRI",
        "first_name": "SIAVASH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD034494L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006597170003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.