Individual provider Active NPI

Ziba Naseri

  • Physician Assistant
  • Hermitage, PA
National Provider Identifier
1396140380
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA057332 Issued in PA
Practice address
2500 Highland Rd Ste 101
Hermitage, PA 16148-4602
Phone
(724) 588-1082
NPI assigned
Nov 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA057332 PA Primary
Physician Assistant 363A00000X 004169 OH

Addresses

Primary practice location

2500 Highland Rd Ste 101
Hermitage, PA 16148-4602

Mailing address

3420 Maple Ridge Dr
Hubbard, OH 44425-8720
Phone (330) 534-5893

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150123000281 PA Practitioner - Physician Assistant 5890019723 Reassigns benefits to 1 organization
I20240313002191 OH Practitioner - Physician Assistant 5890019723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.1 of 100Reported as group
Quality
78.2
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
004169OHMDOccupational Therapy Assistant
MA057332PAMDPhysician Assistant

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": "1414972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1396140380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 MAPLE RIDGE DR",
            "city": "HUBBARD",
            "state": "OH",
            "postal_code": "444258720",
            "telephone_number": "330-534-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HIGHLAND RD STE 101",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161484602",
            "telephone_number": "724-588-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASERI",
        "first_name": "ZIBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-03",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA057332",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "004169",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

Verify at the official NPI Registry.