Active NPI
Bobak Movaghar Ossareh
- Student in an Organized Health Care Education/Training Program
- Atlanta, GA
National Provider Identifier
1497508121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 100 Woodruff Cir NE Ste 327
Atlanta, GA 30322-1020 - Phone
- (404) 727-5658
- NPI assigned
- Apr 11, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
100 Woodruff Cir NE Ste 327
Atlanta, GA 30322-1020
Mailing address
5073 Heather Dr Apt 110
Dearborn, MI 48126-2868
Phone (248) 285-2857
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240613002987 | GA | Order and Referring Only - Emergency Medicine | 6305389727 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1497508121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5073 HEATHER DR APT 110",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262868",
"telephone_number": "248-285-2857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WOODRUFF CIR NE STE 327",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221020",
"telephone_number": "404-727-5658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSSAREH",
"first_name": "BOBAK",
"middle_name": "MOVAGHAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-11",
"last_updated": "2024-04-11",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.