Individual provider Active NPI

B Florian Miranzadeh, DO

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1609862135
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036100398 Issued in IL
Practice address
3718 N Ashland Ave
Chicago, IL 60613-4793
Phone
(773) 327-9900
Fax
(773) 327-0589
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036100398 IL Primary

Addresses

Primary practice location

3718 N Ashland Ave
Chicago, IL 60613-4793

Mailing address

3718 N Ashland Ave
Chicago, IL 60613-4793
Phone (773) 327-9900

Other practice location 1

915 Harger Rd Ste 102
Oak Brook, IL 60523-1400
Phone (630) 928-1430

Other identifiers 4

IdentifierTypeStateIssuer
080171110OtherILRAILROAD MEDICARE
4010133OtherILADVOCATE IL MASONIC
01629934OtherILBCBS PROVIDER ID
036100398MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20070621000558 IL Practitioner - Family Practice 3678522794 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3718 N Ashland Ave
Chicago, IL 60613-3602
Phone (773) 327-9900

Hospital & facility affiliations

  • Advocate Home Health Care Serv Home health agency, Oakbrook, IL, CCN 147150
  • Advocate Illinois Masonic Medical Center Hospital, Chicago, IL, CCN 140182
  • Swedish Hospital Hospital, Chicago, IL, CCN 140114

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036100398ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Rehabilitation Center, PC CurrentSince Oct 15, 2023 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jan 1, 2014 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jan 1, 2014 Accepting new patients
Phoenix Medical Associates, P.C. Family Medicine CurrentSince Feb 1, 2000 Accepting new patients
All Care Family Medical Inc Current Accepting new patients
Phoenix Medical Associates Family Medicine Past Accepting new patients

Locations

595 William R Latham SR Dr
Bourbonnais, IL 60914
Phone (815) 932-8944

135 N Arlington Heights Rd
Buffalo Grove, IL 60089
Phone (847) 215-8866

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

75 Remittance Dr
Chicago, IL 60675

1301 E 47th St
Chicago, IL 60653
Phone (773) 493-8212

75 Remittance Dr
Dept 6994
Chicago, IL 60675

915 Harger Rd
Ste 102
Oak Brook, IL 60523
Phone (630) 928-1430

1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160

Organizations & group practices 6

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 3

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1609862135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3718 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606134793",
            "telephone_number": "773-327-9900",
            "fax_number": "773-327-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3718 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606134793",
            "telephone_number": "773-327-9900",
            "fax_number": "773-327-0589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 Harger Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Oak Brook",
            "state": "IL",
            "postal_code": "605231400",
            "country_code": "US",
            "telephone_number": "630-928-1430",
            "fax_number": "630-928-1424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRANZADEH",
        "first_name": "B FLORIAN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036100398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080171110",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVOCATE IL MASONIC",
            "identifier": "4010133",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "01629934",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036100398",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.