Active NPI
Pooria Hosseini, MD
- Orthopaedic Surgery of the Spine Physician
- Crestview, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- ME175423
- Practice address
- 151 E Redstone Ave
Crestview, FL 32539-5352 - Phone
- (850) 689-8100
- NPI assigned
- Mar 22, 2018
- Last updated
- Aug 4, 2025
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | ME175423 | FL | Primary |
Addresses
Primary practice location
151 E Redstone Ave
Crestview, FL 32539-5352
Mailing address
39334 Memory Dr
Murrieta, CA 92563-6860
Phone (310) 733-0514
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
550 Redstone W Ave
Suite 370
Crestview, FL 32536-6429
Phone (850) 682-2209
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 12 |
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Okaloosa Clinic Corp | Current | Accepting new patients | |
| North Okaloosa Clinic Corp | Current | Accepting new patients |
Locations
151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515
550 Redstone Ave W
Ste 370
Crestview, FL 32536
Phone (850) 682-2209
1507 Merchants Way
Ste A
Niceville, FL 32578
Phone (850) 897-3600
330 Franklin Rd
Ste 135A
Brentwood, TN 37027
Phone (615) 727-0177
Interoperability endpoints
- pooria.hosseini.1@1523.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Crestview, FL
- NPI 1659329852
-
- Durable Medical Equipment & Medical Supplies
- Crestview, FL
- NPI 1477738896
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba North Okaloosa Medical Center
- General Acute Care Hospital
- Crestview, FL
- NPI 1104897859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1609370725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39334 MEMORY DR",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925636860",
"telephone_number": "310-733-0514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 E REDSTONE AVE",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325395352",
"telephone_number": "850-689-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOSSEINI",
"first_name": "POORIA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-22",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "FL",
"license": "ME175423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crestview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.