Individual provider Active NPI

Amir Mohebbi, M.D.

  • Psychiatry Physician
  • Reading, PA
National Provider Identifier
1427409820
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD485501 Issued in PA
Practice address
145 N 6TH Street
Reading, PA 19601-3096
Phone
(610) 406-4340
NPI assigned
Jun 27, 2016
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD485501 PA Primary

Addresses

Primary practice location

145 N 6TH Street
Reading, PA 19601-3096

Mailing address

314 S Henderson Rd Ste G
PMB 332
King of Prussia, PA 19406-2449
Phone (949) 456-3600

Other practice location 1

4641 E Roosevelt Blvd
Philadelphia, PA 19124-2398
Phone (800) 889-0548

Other names 1

  • Amir Mohebbi Abivardi Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240809002250 PA Practitioner - Psychiatry 8820385636 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Saint Louis University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Pennsylvania Physician Alliance, LLCGroup PAC ID 8325478662, 112 clinicians

Practice addresses (Care Compare)

561 Fairthorne Ave
Philadelphia, PA 19128-2412
Phone (215) 487-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
78.42
Improvement activities
40
Cost
70.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD485501PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Haven Behavioral Services of Reading, LLC Psychiatry CurrentSince Jul 26, 2024 Accepting new patients
Eastern Pennsylvania Physician Alliance LLC CurrentSince Sep 11, 2024 Accepting new patients
Montgomery County MH-Mr Emergency Service Past Accepting new patients
Wyomissing Behavior Analysts, LTD. PastSince Jun 1, 2024 Accepting new patients

Locations

4641 E Roosevelt Blvd
Philadelphia, PA 19124
Phone (215) 831-4600

561 Fairthorne Ave
Philadelphia, PA 19128
Phone (215) 487-4000

145 N 6th St
Reading, PA 19601
Phone (610) 378-2440

145 N 6th St
Fl 3
Reading, PA 19601
Phone (610) 406-4340

1800 N 12th St
Ste 2
Reading, PA 19604
Phone (610) 816-5728

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1427409820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 S HENDERSON RD STE G",
            "address_2": "PMB 332",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062449",
            "telephone_number": "949-456-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 N 6TH STREET",
            "city": "READING",
            "state": "PA",
            "postal_code": "196013096",
            "telephone_number": "610-406-4340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4641 E Roosevelt Blvd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191242398",
            "country_code": "US",
            "telephone_number": "800-889-0548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHEBBI",
        "first_name": "AMIR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-27",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD485501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMIR",
            "last_name": "MOHEBBI ABIVARDI",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.