Active NPI
Pervez Tirand Iranpur, MD
- Pain Medicine (Anesthesiology) Physician
- Daytona Beach, FL
National Provider Identifier
1407823909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- ME77463
- Practice address
- 350 N Clyde Morris Blvd
Daytona Beach, FL 32114-2733 - Phone
- (386) 238-3226
- Fax
- (386) 238-3260
- NPI assigned
- Mar 2, 2006
- 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 |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | ME77463 | FL | Primary |
Addresses
Primary practice location
350 N Clyde Morris Blvd
Daytona Beach, FL 32114-2733
Mailing address
PO Box 9671
Daytona Beach, FL 32120-9671
Phone (386) 676-7130
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005794900 | Medicaid | FL | |
| 1407823909 | Other | FL | TRICARE |
| 35291 | Other | FL | BCBS |
| 1407823909 | Other | FL | VHN |
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: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME77463 | FL | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Health Care Plan, Inc | Current | Accepting new patients | |
| Florida Health Care Plan, Inc | Current | Accepting new patients |
Locations
350 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 238-3200
740 Dunlawton Ave
Ste 200
Port Orange, FL 32127
Phone (386) 763-1000
Interoperability endpoints
- perveziranpur@fhcpfl.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Preferred Provider Organization
- Daytona Beach, FL
- NPI 1558302042
-
- Ambulatory Surgical Clinic/Center
- Orange City, FL
- NPI 1659759827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456099200000",
"number": "1407823909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9671",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321209671",
"telephone_number": "386-676-7130",
"fax_number": "386-676-7125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 N CLYDE MORRIS BLVD",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321142733",
"telephone_number": "386-238-3226",
"fax_number": "386-238-3260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRANPUR",
"first_name": "PERVEZ",
"middle_name": "TIRAND",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-02",
"last_updated": "2016-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "FL",
"license": "ME77463",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005794900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "1407823909",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "35291",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VHN",
"identifier": "1407823909",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.