NPIMap

Individual provider Active NPI

Farshad Forouzandeh, M.D., PH.D.

  • Student in an Organized Health Care Education/Training Program
  • Parma, OH
National Provider Identifier
1629209176
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
PERMIT#005402 Issued in GA
Practice address
6525 Powers Blvd Ste 301
Parma, OH 44129-5461
Phone
(440) 882-0075
Fax
(440) 882-0080
NPI assigned
Jul 31, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X PERMIT#005402 GA Primary

Addresses

Primary practice location

6525 Powers Blvd Ste 301
Parma, OH 44129-5461

Mailing address

101 Woodruff Cir
WMB 308
Atlanta, GA 30322-0001
Phone (404) 727-4724

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address farshadforouzandeh@uhps.allscriptsdirect.net
Direct Messaging Address farshadforouzandeh@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170627002812 OH Practitioner - Cardiovascular Disease (Cardiology) 3173892643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Primary Care Practices IncGroup PAC ID 3072417534, 1,071 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716

158 W Main Rd
Conneaut, OH 44030-2039

3999 Richmond Rd
Beachwood, OH 44122-6046
Phone (216) 383-0100

4001 Carrick Dr
Suite 120
Medina, OH 44256-5385
Phone (216) 383-0100

5901 E Royalton Rd
Broadview Heights, OH 44147-3532

6525 Powers Blvd
Parma, OH 44129-5461
Phone (440) 743-4748

Hospital & facility affiliations

  • Parma Community General Hospital Hospital, Parma, OH, CCN 360041
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • Southwest General Health Center Hospital, Middleburg Heights, OH, CCN 360155
  • University Hospitals Ahuja Medical Center Hospital, Beachwood, OH, CCN 360359
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting39
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PERMIT#005402GAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc CurrentSince Jul 1, 2017 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc CurrentSince Jul 1, 2017 Accepting new patients
Cardiovascular Clinic, Inc Past Accepting new patients

Locations

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

6525 Powers Blvd
Ste 301
Parma, OH 44129
Phone (440) 882-0045

Interoperability endpoints

  • Direct secure messaging: fforouzandeh37696@ehrdirect.uhhospitals.org

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 8

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": "1248998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1629209176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WOODRUFF CIR",
            "address_2": "WMB 308",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303220001",
            "telephone_number": "404-727-4724",
            "fax_number": "404-712-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 POWERS BLVD STE 301",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295461",
            "telephone_number": "440-882-0075",
            "fax_number": "440-882-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOROUZANDEH",
        "first_name": "FARSHAD",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-31",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": "PERMIT#005402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "farshadforouzandeh@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "5901 E Royalton Rd Ste 2400",
            "city": "Broadview Hts",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441473532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "farshadforouzandeh@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "6525 Powers Blvd Ste 301",
            "city": "Parma",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441295461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.