Active NPI
Keyvan Rashidi, MD
- Addiction Medicine (Preventive Medicine) Physician
- Akron, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Preventive Medicine) Physician
- License
- 35.135041
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 034777 | Medicaid | OH |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.135041 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Counseling Center of Ashtabula County | Current | Accepting new patients | |
| Healena Health LLC | Current | Accepting new patients | |
| Community Drug Board, Inc | Family Medicine | Current | Accepting new patients |
| Community Drug Board, Inc | Current | Accepting new patients | |
| Community Drug Board, Inc | Family Medicine | Current | 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.
-
- Medical Specialty Clinic/Center
- Akron, OH
- NPI 1891663902
-
dba Community Health Center
- Community Health Clinic/Center
- Akron, OH
- NPI 1861566945
-
- Adolescent and Children Mental Health Clinic/Center
- Ashtabula, OH
- NPI 1720029622
-
dba Community Health Center
- Methadone Clinic
- Akron, OH
- NPI 1588929376
Family Medicine
-
dba CHC Addiction Services
- Family Medicine Physician
- Akron, OH
- NPI 1871204081
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.