Active NPI
Seyed-Mojtaba Gashti, D.O.
- Vascular Surgery Physician
- Wellington, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- H0062393
- Practice address
- 1447 Medical Park Blvd Ste 405
Wellington, FL 33414-3183 - Phone
- (561) 767-8342
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 239940 | NY | |
| Vascular Surgery Physician | 2086S0129X | H0062393 | MD | Primary |
| Surgery Physician | 208600000X | OS14009 | FL | |
| Surgery Physician | 208600000X | 25MB06746000 | NJ |
Addresses
Primary practice location
1447 Medical Park Blvd Ste 405
Wellington, FL 33414-3183
Mailing address
21966 Canadensis Cir
Boca Raton, FL 33428-3911
Phone (410) 409-4562
Other practice location 1
7556 Lake Worth Rd Ste 103
Lake Worth, FL 33467-2503
Phone (561) 894-1370
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7978103 | Medicaid | NJ | |
| 020127500 | Medicaid | FL |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170127001416 | FL | Practitioner - Vascular Surgery | 6103812201 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- University of New England, College of Osteo Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Premier Interventional and Diagnostic Radiology, Corp
Practice addresses (Care Compare)
7556 Lake Worth Rd
Suite 103
Lake Worth, FL 33467-2503
Phone (561) 894-1370
Hospital & facility affiliations
- Wellington Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Leg revascularization (restoring blood flow) | 44 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS14009 | FL | MD | Surgery Physician |
| 25MB06746000 | NJ | MD | Surgery Physician |
| 239940 | NY | MD | Surgery Physician |
| H0062393 | MD | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wazni, PLLC | Surgery | Current | Accepting new patients |
| South Florida Surgical Specialists LLC | Surgery | Current | Accepting new patients |
| Independent Multispecialty Group of Florida LLC | Surgery | Current | Accepting new patients |
| Premier Interventional and Diagnostic Radiology Corp | Current | Accepting new patients | |
| Colorado Medical Group, PLLC | Surgery | Past | Accepting new patients |
| Surgical Specialists of New Jersey, LLC | Surgery | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1900 Glades Rd
Ste 100
Boca Raton, FL 33431
Phone (561) 416-1145
3467 W Hillsboro Blvd
Ste A
Deerfield Beach, FL 33442
Phone (954) 202-0300
4205 W Atlantic Ave
Ste 102
Delray Beach, FL 33445
Phone (561) 819-2225
7556 Lake Worth Rd
Ste 103
Lake Worth, FL 33467
Phone (561) 641-4607
2290 10th Ave N
Ste 101
Lake Worth, FL 33461
Phone (561) 450-2703
4619 Little Rd
New Pt Richey, FL 34655
Phone (727) 372-9918
4215 Burns Rd
Ste 260
Palm Beach Gardens, FL 33410
3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000
295 NW Peacock Blvd
Port St Lucie, FL 34986
3657 Madaca Ln
Tampa, FL 33618
3820 Northdale Blvd
Ste 201
Tampa, FL 33624
1447 Medical Park Blvd
Ste 405
Wellington, FL 33414
Phone (561) 767-8342
Organizations & group practices 7
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.
-
- Vascular & Interventional Radiology Physician
- Lake Worth, FL
- NPI 1801437041
FL
-
- Surgery Physician
- Wellington, FL
- NPI 1346745122
FL, Surgery
-
- Surgery Physician
- Coral Springs, FL
- NPI 1952409963
FL, Surgery
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wellington, FL
- NPI 1720078702
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730592000000",
"number": "1649271925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21966 CANADENSIS CIR",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334283911",
"telephone_number": "410-409-4562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1447 MEDICAL PARK BLVD STE 405",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334143183",
"telephone_number": "561-767-8342"
}
],
"practiceLocations": [
{
"address_1": "7556 Lake Worth Rd Ste 103",
"address_purpose": "LOCATION",
"city": "Lake Worth",
"state": "FL",
"postal_code": "334672503",
"country_code": "US",
"telephone_number": "561-894-1370",
"fax_number": "561-894-1372",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GASHTI",
"first_name": "SEYED-MOJTABA",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2024-11-03",
"certification_date": "2024-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "239940",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MD",
"license": "H0062393",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "OS14009",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NJ",
"license": "25MB06746000",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7978103",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020127500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2024; 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.