Individual provider Active NPI

Siamak Marzbani, M.D.

  • Obstetrics & Gynecology Physician
  • Smithfield, NC
National Provider Identifier
1528169307
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
38172 Issued in NC
Practice address
520 North St
Smithfield, NC 27577-4016
Phone
(919) 934-3015
Fax
(919) 934-0958
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 38172 NC
Obstetrics & Gynecology Physician 207V00000X 38172 NC Primary

Addresses

Primary practice location

520 North St
Smithfield, NC 27577-4016

Mailing address

520 North St
Smithfield, NC 27577-4016
Phone (919) 934-3015

Other identifiers 1

IdentifierTypeStateIssuer
8954551MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address siamakmarzbani@tpwhpa.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20111215000941 NC Practitioner - Obstetrics/Gynecology 0648254631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Triangle Premier Womens Health PAGroup PAC ID 8224012208, 4 clinicians

Practice addresses (Care Compare)

520 N St
Smithfield, NC 27577-4016
Phone (919) 934-3015

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Triangle Premier Women's Health, P.a. Obstetrics & Gynecology CurrentSince Oct 1, 1990 Accepting new patients

Locations

2076 Veterans Pkwy
Ste 110
Clayton, NC 27520
Phone (919) 359-3050

520 North St
Smithfield, NC 27577
Phone (919) 934-3015

Interoperability endpoints

  • Direct secure messaging: siamak.marzbani.1@32647.direct.athenahealth.com
  • Direct secure messaging: siamakmarzbani@tpwhpa.allscriptsdirect.net

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1528169307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 NORTH ST",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774016",
            "telephone_number": "919-934-3015",
            "fax_number": "919-934-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 NORTH ST",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774016",
            "telephone_number": "919-934-3015",
            "fax_number": "919-934-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARZBANI",
        "first_name": "SIAMAK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "38172",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "38172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8954551",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "siamakmarzbani@tpwhpa.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "520 North St",
            "city": "Smithfield",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275774016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

Verify at the official NPI Registry.