Individual provider Active NPI

Hooman Gharehgozloo Hamedani, DO

  • Diagnostic Radiology Physician
  • Dayton, OH
National Provider Identifier
1407343205
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
34014063 Issued in OH
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

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231019002003 OH Practitioner - Diagnostic Radiology 9739435785 Reassigns benefits to 2 organizations

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
Radiology IncGroup PAC ID 1658274543, 56 clinicians

Practice addresses (Care Compare)

793 W State St
Columbus, OH 43222-1551
Phone (614) 234-5100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.62 of 100Reported as group
Quality
75.91
Improvement activities
40
Cost
82.89

Merit-based Incentive Payment System (MIPS)

Final score
77.41 of 100Reported as group
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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34014063OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kettering Network Radiologists Inc Diagnostic Radiology CurrentSince Aug 29, 2023 Accepting new patients
Radiology Inc Diagnostic Radiology CurrentSince May 1, 2024 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.