Individual provider Active NPI

Ramin Robert Nadjafi, DPM

  • Foot & Ankle Surgery Podiatrist
  • Orlando, FL
National Provider Identifier
1407273758
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
3643 Issued in FL
Practice address
114 Park Lake St.
Orlando, FL 32803-3809
Phone
(407) 423-9401
Fax
(407) 203-4025
NPI assigned
Mar 25, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 3643 FL Primary

Addresses

Primary practice location

114 Park Lake St.
Orlando, FL 32803-3809

Mailing address

114 Park Lake St.
Orlando, FL 32803-3809
Phone (407) 423-9401

Other identifiers 1

IdentifierTypeStateIssuer
7594910001OtherFLMEDICARE NSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150318000869 FL Practitioner - Podiatry 9931426681 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ortho Florida LLCGroup PAC ID 3274616453, 121 clinicians

Practice addresses (Care Compare)

114 Park Lake St
Orlando, FL 32803-3822
Phone (407) 423-9401

1601 Clint Moore Rd
Suite 125
Boca Raton, FL 33487-5714
Phone (561) 939-0800

660 Glades Rd
Suite 360
Boca Raton, FL 33431-6469
Phone (561) 391-5515

9400 Turkey Lake Rd
Orlando, FL 32819-8001
Phone (407) 264-9633

9401 Turkey Lake Rd
Orlando, FL 32819-8001
Phone (407) 351-8500

Hospital & facility affiliations

  • Orlando Health Hospital, Orlando, FL, CCN 100006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue34
Removal of skin lesions18
Removal of nail tissue135
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3643FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ortho Florida, LLC CurrentSince Jan 1, 2022 Accepting new patients
Advanced Podiatry Group LLC Foot & Ankle Surgery CurrentSince Mar 29, 2016 Accepting new patients
Advanced Psychiatric Group, PA CurrentSince Jul 1, 2016 Accepting new patients
Ortho Florida, LLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

660 Glades Rd
Ste 460
Boca Raton, FL 33431
Phone (561) 300-1792

1601 Clint Moore Rd
Ste 125
Boca Raton, FL 33487
Phone (561) 395-5733

114 Park Lake St
Orlando, FL 32803
Phone (407) 423-9401

9400 Turkey Lake Rd
Orlando, FL 32819
Phone (321) 843-5500

736 N Magnolia Ave
Orlando, FL 32803
Phone (407) 423-7149

Interoperability endpoints

  • Direct secure messaging: ramin.nadjafi.1@13523.direct.athenahealth.com

Organizations & group practices 4

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 1

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": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1407273758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 PARK LAKE ST.",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033809",
            "telephone_number": "407-423-9401",
            "fax_number": "407-203-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 PARK LAKE ST.",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033809",
            "telephone_number": "407-423-9401",
            "fax_number": "407-203-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADJAFI",
        "first_name": "RAMIN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-25",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "3643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "7594910001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.