Salim Qazizadeh, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

0101251989 Issued in VA

Practice address

300 Medical Pkwy Ste 212
Chesapeake, VA 23320

Phone

(757) 547-0508

Fax

(757) 547-8963

NPI assigned

May 16, 2006

Last updated

Sep 7, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Pennsylvania Neurosurgery and Neuroscience Institute, Inc.

  • Neurological Surgery Physician
  • Harrisburg, PA
  • NPI 1659317766

  Neurology

  NPD (past)
• Upmc Pinnacle Hospitals

  • Ambulatory Surgical Clinic/Center
  • Harrisburg, PA
  • NPI 1528940962
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1487606620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 KINGSBOROUGH SQ",
            "address_2": "SUITE 101",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233201677",
            "telephone_number": "757-842-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL PKWY STE 212",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "23320",
            "telephone_number": "757-547-0508",
            "fax_number": "757-547-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QAZIZADEH",
        "first_name": "SALIM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101251989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "0101251989",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Pumphrey, PA-C
• Pure Healthcare LLC
• Jonee Marie Purvis, AGPCNP-C
• Christina Gayle Pyatt, PHARM.D
• Ashton Pyle, PT
• QCS LLC
• Quality Community Supports
• Quality Community Supports
• Quality Training & Skill Building LLC
• Quality Training & Skill Building LLC

• Neurology Physician in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Neurology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; 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.

Verify at the official NPI Registry.