Habibollah Ghanavati, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME97136 Issued in FL

Practice address

9970 Central Park Blvd N Ste 207
Boca Raton, FL 33428-2236

Phone

(561) 703-1766

NPI assigned

Jul 5, 2007

Last updated

Jan 10, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Neurology

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellington Regional Medical Center Hospital, Wellington, FL, CCN 100275
• West Boca Medical Center Hospital, Boca Raton, FL, CCN 100268

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: habibolah.ghanavati@fcn.eclinicaldirectplus.com

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.

• Bobby Ghanavati, MD PLLC

  • Specialist
  • Boca Raton, FL
  • NPI 1063642528
  Medicare reassignment NPD Authorized official

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

• Wellington Regional Medical Center LLC

  dba Wellington Regional Medical Center

  • General Acute Care Hospital
  • Wellington, FL
  • NPI 1720078702
  Care Compare affiliation
• West Boca Medical Center, Inc.

  dba West Boca Medical Center

  • General Acute Care Hospital
  • Boca Raton, FL
  • NPI 1588697296
  Care Compare affiliation

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1568660090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 NE 36TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316137",
            "telephone_number": "561-703-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9970 CENTRAL PARK BLVD N STE 207",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282236",
            "telephone_number": "561-703-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHANAVATI",
        "first_name": "HABIBOLLAH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME97136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "habibolah.ghanavati@fcn.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "9970 Central Park Blvd N Ste 207",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334282236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Get Well Soon Home Health Agency, Inc.
• Daniel E Gewartowski, DDS
• Diana Jawhar Ghaddar
• Reem Ghalib, MD
• Melad Naji Ghalloub, DMD
• Paul Ghanem, PHARMD
• Gabriel Ghanoum, PSYD
• Fatima Ghazi
• Devon Roland Ghee, PHARM.D
• Gi Diagnostics, LLC

• Neurology Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.