Individual provider Active NPI

Bahareh Hassanzadeh, M.D.

  • Neurology Physician
  • Lake Mary, FL
National Provider Identifier
1528350303
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME119367 Issued in FL
Practice address
392 Rinehart Rd Ste 3040
Lake Mary, FL 32746-2548
Phone
(321) 842-2363
Fax
(321) 842-2370
NPI assigned
May 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME119367 FL
Neurology Physician 2084N0400X 036.138849 IL
Neurology Physician 2084N0400X C159706 CA
Neurology Physician 2084N0400X ME119367 FL Primary

Addresses

Primary practice location

392 Rinehart Rd Ste 3040
Lake Mary, FL 32746-2548

Mailing address

392 Rinehart Rd Ste 3040
Lake Mary, FL 32746-2548
Phone (321) 842-2363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20140730001585 FL Practitioner - NeurologyPractitioner - Ophthalmology 8820214737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Ophthalmology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

392 Rinehart Rd
Suite 3040
Lake Mary, FL 32746-2548
Phone (321) 841-7856

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME119367FLMDOphthalmology Physician
C159706CAMDNeurology Physician
036.138849ILMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Sep 20, 2021 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Sep 20, 2021 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
University of Miami Past Accepting new patients

Locations

392 Rinehart Rd
Ste 3040
Lake Mary, FL 32746
Phone (321) 841-1570

392 Rinehart Rd
Ste 3050
Lake Mary, FL 32746
Phone (321) 842-2363

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: bhassanzadeh262664@orlandohealth.medalliesdirect.net

Organizations & group practices 4

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 4

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": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1528350303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "392 RINEHART RD STE 3040",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462548",
            "telephone_number": "321-842-2363",
            "fax_number": "321-842-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 RINEHART RD STE 3040",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462548",
            "telephone_number": "321-842-2363",
            "fax_number": "321-842-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSANZADEH",
        "first_name": "BAHAREH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-11",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME119367",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036.138849",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "C159706",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME119367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.