Individual provider Active NPI

Mehdi Nabipour, M.D.

  • Family Medicine Physician
  • Sanford, FL
National Provider Identifier
1457326308
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME45312 Issued in FL
Practice address
400 W Airport Blvd
Sanford, FL 32773-5496
Phone
(407) 665-3362
Fax
(407) 665-3213
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME45312 FL Primary

Addresses

Primary practice location

400 W Airport Blvd
Sanford, FL 32773-5496

Mailing address

400 W Airport Blvd
Sanford, FL 32773-5489
Phone (407) 665-3212

Other identifiers 1

IdentifierTypeStateIssuer
036152600MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050507000061 FL Practitioner - General PracticePractitioner - Dermatology 6204876345 Reassigns benefits to 1 organization

National Provider Directory

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

Organizations & group practices 1

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1457326308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W AIRPORT BLVD",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327735489",
            "telephone_number": "407-665-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W AIRPORT BLVD",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327735496",
            "telephone_number": "407-665-3362",
            "fax_number": "407-665-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NABIPOUR",
        "first_name": "MEHDI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME45312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036152600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

Verify at the official NPI Registry.