Hanif Boghani, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

047929 Issued in GA

Practice address

1462 Montreal Rd
Suite 214
Tucker, GA 30084-6929

Phone

(770) 939-2020

Fax

(770) 939-6688

NPI assigned

Jan 10, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Muhammad Hanif Mohammadi Former name

Medicare fee-for-service enrollment

Enrolled in GA

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

NephrologyAlso: Internal Medicine

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Northlake Dialysis Dialysis facility, Tucker, GA, CCN 112695
• Emory Decatur Hospital Hospital, Decatur, GA, CCN 110076
• Saint Joseph's Hospital of Atlanta, Inc Hospital, Atlanta, GA, CCN 110082
• Emory Decatur Hospital Inpatient rehabilitation facility, Decatur, GA, CCN 11T076

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Atlanta Kidney Care LLC

  • Nephrology Physician
  • Tucker, GA
  • NPI 1912484395
  NPD Authorized official
• Atlanta Kidney Care LLC

  dba Atlanta Nephrology Associates

  • Nephrology Physician
  • Atlanta, GA
  • NPI 1831562958
  NPD (past)
• Scheurer Hospital

  dba Scheurer Primary Care - Sebewaing

  • Rural Health Clinic/Center
  • Sebewaing, MI
  • NPI 1053957738
  NPD (past)

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

• Renal Treatment Centers Mid Atlantic Inc

  dba Northlake Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tucker, GA
  • NPI 1952379133

  Dialysis facility

  Care Compare affiliation Name & address match
• Dekalb Medical Center, Inc.

  dba Emory Decatur Hospital

  • General Acute Care Hospital
  • Decatur, GA
  • NPI 1093716979
  Care Compare affiliation
• Dekalb Medical Center, Inc.

  dba Emory Decatur Hospital

  • Rehabilitation Hospital Unit
  • Decatur, GA
  • NPI 1912908567

  Inpatient rehabilitation facility

  Care Compare affiliation
• Saint Josephs Hospital of Atlanta Inc

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1679664395
  Care Compare affiliation

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1619026150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 467071",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311467071",
            "telephone_number": "770-939-2020",
            "fax_number": "770-939-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1462 MONTREAL RD",
            "address_2": "SUITE 214",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300846929",
            "telephone_number": "770-939-2020",
            "fax_number": "770-939-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGHANI",
        "first_name": "HANIF",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "047929",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "047929",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "435309113A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MUHAMMAD",
            "last_name": "MOHAMMADI",
            "middle_name": "HANIF",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kianna Bloomfield, DMD
• Blossom Works Therapy LLC
• Blue Ridge Nutrition Services, Inc.
• Ashley Nicole Boachie-Adjei, PA
• William Boatwright
• Donald Hoyt Bohne, D.D.S.
• Kendajah Bolden, RBT
• Elsie Bolton, MA, CF-SLP
• Deirdre Bonaparte, MA, CCC-SLP
• Hannah Joy Boos, MA, LPC, NCC, CPTT

• Specialist in Tucker, GA
• Providers in Tucker, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.