Individual provider Active NPI

Pamella Abghari, M.D.

  • Pediatric Allergy/Immunology Physician
  • Parkland, FL
National Provider Identifier
1487966149
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Allergy/Immunology PhysicianTaxonomy code 2080P0201X
License
ME134206 Issued in FL
Practice address
7605 N State Road 7
Parkland, FL 33073-3504
Phone
(954) 315-5780
Fax
(954) 346-4182
NPI assigned
Jul 11, 2010
Last updated
Dec 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301096920 MI
Pediatric Allergy/Immunology Physician 2080P0201X 4301096920 MI
Pediatric Allergy/Immunology Physician 2080P0201X 35129059 OH
Pediatric Allergy/Immunology Physician 2080P0201X ME134206 FL Primary

Addresses

Primary practice location

7605 N State Road 7
Parkland, FL 33073-3504

Mailing address

900 S Pine Island Rd Ste 800
Plantation, FL 33324-3923
Phone (954) 315-5780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150619000778 MI Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 3971814724 Reassigns benefits to 1 organization
I20160922000746 OH Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 3971814724 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME134206FLMDPediatric Allergy/Immunology Physician
4301096920MIMDPediatric Allergy/Immunology Physician
35129059OHMDPediatric Allergy/Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Pediatrics CurrentSince Sep 1, 2016 Accepting new patients
University Pediatricians Pediatrics CurrentSince Jun 1, 2015 Accepting new patients
Saltzman, Tanis, Pittell, Levin and Jacobson, LLC CurrentSince Feb 2, 2020 Accepting new patients
University Pediatricians Pediatrics CurrentSince Jun 1, 2015 Accepting new patients
The Metrohealth System CurrentSince Sep 1, 2016 Accepting new patients
Saltzman, Tanis, Pittell, Levin and Jacobson, LLC Pediatrics Past Accepting new patients
Saltzman, Tanis, Pittell, Levin and Jacobson Pediatrics PastSince Dec 29, 2019 Accepting new patients

Locations

7605 N State Road 7
Parkland, FL 33073
Phone (954) 315-5780

900 S Pine Island Rd
Ste 800
Plantation, FL 33324
Phone (954) 967-6400

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

4229 Pearl Rd
Cleveland, OH 44109
Phone (216) 459-6300

Interoperability endpoints

  • Direct secure messaging: pabghari@pa.trimed.direct-ci.com
  • Direct secure messaging: pabghari198820@direct.hfhs.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1278806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1487966149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S PINE ISLAND RD STE 800",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243923",
            "telephone_number": "954-315-5780",
            "fax_number": "954-346-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7605 N STATE ROAD 7",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330733504",
            "telephone_number": "954-315-5780",
            "fax_number": "954-346-4182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABGHARI",
        "first_name": "PAMELLA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-11",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301096920",
            "primary": false
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "MI",
            "license": "4301096920",
            "primary": false
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "OH",
            "license": "35129059",
            "primary": false
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "FL",
            "license": "ME134206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkland, FL

Sources for this page

Verify at the official NPI Registry.