Individual provider Active NPI

Pejman A. Firouztale, MD

  • Diagnostic Radiology Physician
  • Atlanta, GA
National Provider Identifier
1346446747
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A104115 Issued in CA
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

Updated by the provider on Feb 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, OK5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20090917000345 CA Practitioner - Diagnostic Radiology 9133275019 Reassigns benefits to 6 organizations
I20100127000337 GA Practitioner - Diagnostic Radiology 9133275019 Reassigns benefits to 2 organizations
I20100903000055 TX Practitioner - Diagnostic Radiology 9133275019 Reassigns benefits to 2 organizations
I20171031003541 AL Practitioner - Diagnostic Radiology 9133275019 Reassigns benefits to 1 organization
I20240124002840 OK Practitioner - Diagnostic Radiology 9133275019 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME106974FLMDFamily Medicine Physician
2004014330MOMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
West Jefferson Radiology, LLC Diagnostic Radiology CurrentSince Apr 1, 2019 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Jul 15, 2021 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Oct 8, 2021 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Apr 1, 2020 Accepting new patients
Pontchartrain Diagnostic Imaging LLC Diagnostic Radiology CurrentSince Jul 1, 2015 Accepting new patients
City of Hope Medical Group of Georgia LLC Diagnostic Radiology CurrentSince Feb 11, 2013 Accepting new patients
Clinch County Hospital Authority CurrentSince Apr 12, 2016 Accepting new patients
Eagle Partners, PLLC Diagnostic Radiology CurrentSince Oct 7, 2022 Accepting new patients
Imaging Associates of New Mexico LLC Diagnostic Radiology CurrentSince Nov 17, 2022 Accepting new patients
Atlantic Diagnostic Center PA Diagnostic Radiology PastSince Sep 18, 2010 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.

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

Verify at the official NPI Registry.