Active NPI
Hooman Gharehgozloo Hamedani, DO
- Diagnostic Radiology Physician
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 34014063
- Practice address
- 405 W Grand Ave
Dayton, OH 45405-7538 - Phone
- (937) 723-3245
- NPI assigned
- Apr 17, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 34014063 | OH | Primary |
Addresses
Primary practice location
405 W Grand Ave
Dayton, OH 45405-7538
Mailing address
405 W Grand Ave
Dayton, OH 45405-7538
Phone (937) 723-3248
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Ohio University, College of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
793 W State St
Columbus, OH 43222-1551
Phone (614) 234-5100
Hospital & facility affiliations
- Mount Carmel East & West
- Mount Carmel St Ann'S
- Ohio Valley Surgical Hospital
- Diley Ridge Medical Center
- Madison Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.62 of 100
- Quality
- 75.91
- Improvement activities
- 40
- Cost
- 82.89
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.41 of 100
- Quality
- 73.46
- Improvement activities
- 40
- Cost
- 73.34
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34014063 | OH | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kettering Network Radiologists Inc | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Inc | Diagnostic Radiology | Current | Accepting new patients |
| Dayton Osteopathic Hospital | Past | Accepting new patients | |
| Kettering Medical Center | Past | Accepting new patients |
Locations (25 of 52)
416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141
121 Westfield Dr
Archbold, OH 43502
Phone (419) 445-2015
3371 Kemp Rd
Beavercreek, OH 45431
Phone (937) 320-3600
3535 Pentagon Blvd
Beavercreek, OH 45431
Phone (937) 702-4000
2510 Commons Blvd
Beavercreek, OH 45431
Phone (937) 223-2911
433 W High St
Bryan, OH 43506
Phone (419) 636-1131
1023 S Main St
Centerville, OH 45458
Phone (937) 435-1982
Dept L647
Columbus, OH 43260
793 W State St
Columbus, OH 43222
Phone (614) 234-1862
L3402
Columbus, OH 43260
Phone (814) 444-1919
165 S Edwin C Moses Blvd
Dayton, OH 45402
Phone (937) 396-8150
6661 Clyo Rd
Dayton, OH 45459
Phone (937) 425-4000
1010 Woodman Dr
Dayton, OH 45432
Phone (937) 252-5500
1222 S Patterson Blvd
Ste 400
Dayton, OH 45402
Phone (937) 496-2600
101 E Alex Bell Rd
Ste 190
Dayton, OH 45459
Phone (937) 425-4020
6438 Wilmington Pike
Ste 120
Dayton, OH 45459
Phone (937) 558-3800
3095 Dayton Xenia Rd
Ste 100
Dayton, OH 45434
Phone (937) 531-7902
405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200
7740 Washington Village Dr
Ste 140
Dayton, OH 45459
Phone (937) 439-7420
450F Washington Jackson Rd
Eaton, OH 45320
Phone (937) 456-8306
1250 W National Rd
Englewood, OH 45315
Phone (937) 558-3062
1045 Channingway Dr
Fairborn, OH 45324
Phone (937) 878-8644
100 Kettering Way
Franklin, OH 45005
Phone (937) 458-4700
909 E 2nd St
Ste C
Franklin, OH 45005
835 Sweitzer St
Greenville, OH 45331
Phone (937) 548-1141
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.
-
- Diagnostic Radiology Physician
- Dublin, OH
- NPI 1609865708
-
- Diagnostic Radiology Physician
- Kettering, OH
- NPI 1346299153
-
- Specialty Pharmacy
- Kettering, OH
- NPI 1629511688
-
- Long Term Care Pharmacy
- Miamisburg, OH
- NPI 1205005063
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Canal Winchester, OH
- NPI 1225361181
-
- General Acute Care Hospital
- London, OH
- NPI 1982710703
-
- General Acute Care Hospital
- Westerville, OH
- NPI 1417037045
-
- General Acute Care Hospital
- Grove City, OH
- NPI 1710067376
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1982784534
-
- General Acute Care Hospital
- Springfield, OH
- NPI 1538304050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694649600000",
"number": "1407343205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 W GRAND AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454057538",
"telephone_number": "937-723-3248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 W GRAND AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454057538",
"telephone_number": "937-723-3245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMEDANI",
"first_name": "HOOMAN",
"middle_name": "GHAREHGOZLOO",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-17",
"last_updated": "2023-09-14",
"certification_date": "2023-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "34014063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.