Individual provider Active NPI

Keyvan Rashidi, MD

  • Addiction Medicine (Preventive Medicine) Physician
  • Akron, OH
National Provider Identifier
1417303082
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
License
35.135041 Issued in OH
Practice address
725 E Market St
Akron, OH 44305-2421
Phone
(330) 434-4141
NPI assigned
May 12, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.135041 OH
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 35.135041 OH Primary

Addresses

Primary practice location

725 E Market St
Akron, OH 44305-2421

Mailing address

725 E Market St
Akron, OH 44305-2421
Phone (330) 434-4141

Other practice location 1

25700 Science Park Dr Ste 210
Beachwood, OH 44122-7328
Phone (216) 450-1613

Other identifiers 1

IdentifierTypeStateIssuer
034777MedicaidOH

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
I20210330000494 OH Practitioner - Addiction Medicine 5799079430 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.135041OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Counseling Center of Ashtabula County CurrentSince Sep 10, 2021 Accepting new patients
Healena Health LLC CurrentSince Dec 19, 2025 Accepting new patients
Community Drug Board, Inc Family Medicine CurrentSince Jun 7, 2021 Accepting new patients
Community Drug Board, Inc CurrentSince Jun 7, 2021 Accepting new patients
Community Drug Board, Inc Family Medicine CurrentSince Jul 1, 2025 Accepting new patients

Locations

388 S Main St
Ste 440
Akron, OH 44311
Phone (216) 282-5244

725 E Market St
Akron, OH 44305
Phone (330) 434-4141

2801 C Ct
Ashtabula, OH 44004
Phone (440) 998-0722

Organizations & group practices 5

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": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1417303082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 E MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443052421",
            "telephone_number": "330-434-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 E MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443052421",
            "telephone_number": "330-434-4141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25700 Science Park Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Beachwood",
            "state": "OH",
            "postal_code": "441227328",
            "country_code": "US",
            "telephone_number": "216-450-1613",
            "fax_number": "216-450-1614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASHIDI",
        "first_name": "KEYVAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-12",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.135041",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "OH",
            "license": "35.135041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034777",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.