NPIMap

Individual provider Active NPI

Sina Pourtaheri, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Paterson, NJ
National Provider Identifier
1306153572
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
311786 Issued in LA
Practice address
703 Main St
Paterson, NJ 07503-2621
Phone
(973) 754-2000
NPI assigned
Sep 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A136713 CA
Orthopaedic Surgery of the Spine Physician 207XS0117X 311786 LA Primary

Addresses

Primary practice location

703 Main St
Paterson, NJ 07503-2621

Mailing address

1001 School St
Houma, LA 70360-4629
Phone (985) 868-1540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, LA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150730013828 CA Practitioner - Orthopedic SurgeryPractitioner - Neurosurgery 3971720145 Reassigns benefits to 1 organization
I20190408000612 LA Practitioner - Orthopedic Surgery 3971720145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Tulane University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houma Orthopedic Clinic AMCGroup PAC ID 4183683923, 21 clinicians

Practice addresses (Care Compare)

1001 School St
Houma, LA 70360-4629
Phone (985) 868-1540

1340 Elm St
Suite 101
Morgan City, LA 70380-1893
Phone (985) 868-1540

Hospital & facility affiliations

  • Vitalcaring Group Home health agency, Houma, LA, CCN 197476
  • Divinity Home Health Services, LLC Home health agency, Thibodaux, LA, CCN 197485
  • Vitalcaring Group Home health agency, Morgan City, LA, CCN 197714
  • Amedisys Home Health Home health agency, Houma, LA, CCN 197167
  • Terrebonne Homecare, Inc. Home health agency, Houma, LA, CCN 197585
  • Terrebonne General Medical Center - Parish Hospital, Houma, LA, CCN 190008
  • Ochsner St Mary Hospital, Morgan City, LA, CCN 190014

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Spinal fusion128
Laminectomy or laminotomy (partial removal of spine bones)32
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A136713CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Nov 1, 2016 Accepting new patients
The Metrohealth System Current Accepting new patients
Regents of the University of California Orthopaedic Surgery CurrentSince Nov 1, 2016 Accepting new patients
Houma Orthopedic Clinic AMC Past Accepting new patients
Terrebonne Parish Hospital Service District #1 Past Accepting new patients

Locations

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

Interoperability endpoints

  • Direct secure messaging: spourtaheri@gco.directbygreenway.com
  • Direct secure messaging: spourtaheri99352@direct.metrohealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1306153572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SCHOOL ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604629",
            "telephone_number": "985-868-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032621",
            "telephone_number": "973-754-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POURTAHERI",
        "first_name": "SINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-08",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A136713",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "LA",
            "license": "311786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

Verify at the official NPI Registry.