Individual provider Active NPI

Kaveh Soltani, DPM

  • Podiatrist
  • Suitland, MD
National Provider Identifier
1508876327
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
01354 Issued in MD
Practice address
5867 Allentown Rd
Suitland, MD 20746-4570
Phone
(301) 877-3493
Fax
(301) 877-9510
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 01354 MD Primary

Addresses

Primary practice location

5867 Allentown Rd
Suitland, MD 20746-4570

Mailing address

PO Box 15315
Washington, DC 20003-0315
Phone (301) 877-3493

Other identifiers 12

IdentifierTypeStateIssuer
186885OtherMDAMERIGROUP PROVIDER #
4045068 00MedicaidMD
27-01087OtherMDUNITED HEALTHCARE
9810860002OtherMDCIGNA HMO PROVIDER #
G3250OtherMDBCBS PROVIDER #
3118195OtherMDAETNA HMO PROVIDER #
9810860001OtherMDCIGNA PPO PROVIDER #
480035183OtherMDRAILROAD MEDICARE
2104266OtherMDMAMSI PROVIDER #
7542422OtherMDAETNA PPO PROVIDER #
0342251 00MedicaidDC
279333OtherMDANTHEM BCBS PROVIDER#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, WV3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040305000087 DC Practitioner - Podiatry 1355239054 Reassigns benefits to 1 organization
I20160714001869 VA Practitioner - Podiatry 1355239054 Reassigns benefits to 1 organization
I20200323001670 WV Practitioner - Podiatry 1355239054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allcare Foot and Ankle Center LLC 4 clinicians

Practice addresses (Care Compare)

106 Irving St NW
Suite 314 South
Washington, DC 20010-2993
Phone (301) 877-3493

313 Park Ave
Falls Church, VA 22046-3303
Phone (703) 462-8145

5867 Allentown Rd
Suitland, MD 20746-4570
Phone (301) 877-3493

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue276
Removal or shaving of skin growth278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01354MDMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Allcare Foot & Ankle Center LLC Podiatrist CurrentSince Aug 1, 2014 Accepting new patients
Huntington Foot & Ankle Clinic, Inc Podiatrist PastSince Aug 15, 2001 Accepting new patients
Liebna Medical Consultations PLLC Past Accepting new patients

Locations

106 Irving St NW
Ste 314
Washington, DC 20010
Phone (202) 561-6500

5867 Allentown Rd
Suitland, MD 20746
Phone (301) 877-3493

313 Park Ave
Ste 308
Falls Church, VA 22046
Phone (703) 532-1501

2735 5th Ave
Huntington, WV 25702
Phone (304) 523-7000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8297/brand/4/csg/41/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/8297/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/8297/brand/5/csg/61/fhir/r4
  • Direct secure messaging: kaveh.soltani.1@8297.direct.athenahealth.com

Organizations & group practices 3

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390521600000",
    "number": "1508876327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15315",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200030315",
            "telephone_number": "301-877-3493",
            "fax_number": "301-877-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5867 ALLENTOWN RD",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207464570",
            "telephone_number": "301-877-3493",
            "fax_number": "301-877-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLTANI",
        "first_name": "KAVEH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2014-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP PROVIDER #",
            "identifier": "186885",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4045068 00",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "27-01087",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HMO PROVIDER #",
            "identifier": "9810860002",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "G3250",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO PROVIDER #",
            "identifier": "3118195",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO PROVIDER #",
            "identifier": "9810860001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480035183",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI PROVIDER #",
            "identifier": "2104266",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO PROVIDER #",
            "identifier": "7542422",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0342251 00",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS PROVIDER#",
            "identifier": "279333",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suitland, MD

Sources for this page

Verify at the official NPI Registry.