Active NPI
Pejman A. Firouztale, MD
- Diagnostic Radiology Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A104115
- Practice address
- 3520 Piedmont Rd NE Ste 250
Atlanta, GA 30305-1609 - Phone
- (404) 870-2802
- Fax
- (404) 419-6623
- NPI assigned
- Jun 22, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 2004014330 | MO | |
| Diagnostic Radiology Physician | 2085R0202X | A104115 | CA | Primary |
Addresses
Primary practice location
3520 Piedmont Rd NE Ste 250
Atlanta, GA 30305-1609
Mailing address
3520 Piedmont Rd NE Ste 250
Atlanta, GA 30305-1609
Phone (404) 870-2802
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, GA, TX, AL, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME106974 | FL | MD | Family Medicine Physician |
| 2004014330 | MO | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Jefferson Radiology, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Sonoran Radiology LTD | Diagnostic Radiology | Current | Accepting new patients |
| Singleton Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Golden State Imaging Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| Pontchartrain Diagnostic Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| City of Hope Medical Group of Georgia LLC | Diagnostic Radiology | Current | Accepting new patients |
| Clinch County Hospital Authority | Current | Accepting new patients | |
| Eagle Partners, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Associates of New Mexico LLC | Diagnostic Radiology | Current | Accepting new patients |
| Atlantic Diagnostic Center PA | Diagnostic Radiology | Past | Accepting new patients |
| Atlantic Diagnostic Center PA | Diagnostic Radiology | Past | Accepting new patients |
| Community Radiology Associates P a | Diagnostic Radiology | Past | Accepting new patients |
Locations
995 9th Ave SW
Bessemer, AL 35022
Phone (205) 481-7155
5300 Medford Dr
Hoover, AL 35244
Phone (205) 203-8859
5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555
1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715
3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000
2330 Utah Ave
#200
El Segundo, CA 90245
Phone (281) 766-9059
17100 Euclid St
Ste 4004
Fountain Vly, CA 92708
Phone (714) 966-7200
17100 Euclid St
Fountain Vly, CA 92708
Phone (714) 966-7200
47111 Monroe St
#1112
Indio, CA 92201
1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251
11375 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 596-4209
1050 Valdosta Hwy
Homerville, GA 31634
Phone (912) 383-6575
600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334
62742 Collections Ctr Dr
Chicago, IL 60693
3100 SW 89th St
Oklahoma City, OK 73159
Phone (405) 602-8100
4780 N Josey Ln
Carrollton, TX 75010
Phone (972) 395-2293
9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100
1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180
Organizations & group practices 12
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.
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- Internal Medicine Physician
- Newnan, GA
- NPI 1447520333
Diagnostic Radiology
-
- Critical Access Hospital
- Homerville, GA
- NPI 1861478851
-
- Diagnostic Radiology Physician
- Albuquerque, NM
- NPI 1629592464
CA
-
- Vascular & Interventional Radiology Physician
- Mesa, AZ
- NPI 1033745708
CA, Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Bessemer, AL
- NPI 1053875278
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1255373023
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1275578114
-
- Diagnostic Radiology Physician
- Austin, TX
- NPI 1174573273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393200000000",
"number": "1346446747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3520 PIEDMONT RD NE STE 250",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303051609",
"telephone_number": "404-870-2802",
"fax_number": "404-419-6623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3520 PIEDMONT RD NE STE 250",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303051609",
"telephone_number": "404-870-2802",
"fax_number": "404-419-6623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIROUZTALE",
"first_name": "PEJMAN",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-22",
"last_updated": "2014-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MO",
"license": "2004014330",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A104115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.