Individual provider Active NPI

Navid Pour-Ahmadi, M.D.

  • General Practice Physician
  • Aguada, PR
National Provider Identifier
1306898770
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16155 Issued in PR
Practice address
Bo. Atalaya Carr.416 KM.8.7
Aguada, PR 00602
Phone
(787) 868-4210
Fax
(787) 868-4210
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 16155 PR Primary

Addresses

Primary practice location

Bo. Atalaya Carr.416 KM.8.7
Aguada, PR 00602

Mailing address

PO Box 1912
Mayaguez, PR 00681-1912
Phone (787) 868-4210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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
I20060605000174 PR Practitioner - General Practice 9436160561 Practice locations: Aguada, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8 7 Carr 416 KM
Aguada, PR 00602
Phone (787) 868-4210

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions12
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rincon Medical Center Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420675200000",
    "number": "1306898770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1912",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006811912",
            "telephone_number": "787-868-4210",
            "fax_number": "787-868-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO. ATALAYA CARR.416 KM.8.7",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-868-4210",
            "fax_number": "787-868-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POUR-AHMADI",
        "first_name": "NAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2015-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguada, PR

Sources for this page

Verify at the official NPI Registry.