NPIMap

Individual provider Active NPI

Kourosh Saghafi

  • Geriatric Medicine (Internal Medicine) Physician
  • Parma, OH
National Provider Identifier
1659358950
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
34006341 Issued in OH
Practice address
6681 Ridge Road
Suite 300
Parma, OH 44129-5713
Phone
(440) 842-8675
Fax
(440) 842-1299
NPI assigned
Dec 28, 2005
Last updated
Feb 19, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 34006341 OH Primary

Addresses

Primary practice location

6681 Ridge Road
Suite 300
Parma, OH 44129-5713

Mailing address

6681 Ridge Road
Suite 300
Parma, OH 44129-5713
Phone (440) 842-8675

Other identifiers 1

IdentifierTypeStateIssuer
0255585MedicaidOH

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
I20040802001521 OH Practitioner - Internal Medicine 1254325756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio University, College of Osteopathic Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6681 Ridge Rd
Suite 300
Parma, OH 44129-5705
Phone (440) 842-8675

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34006341OHMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kourosh Saghafi DO Inc Geriatric Medicine CurrentSince Jan 1, 2004 Accepting new patients
Larchwood Care LLC Past Accepting new patients
Grace Hospital Past Accepting new patients
Southwest General Health Center Past Accepting new patients
Parma Community General Hospital Association Past Accepting new patients
Rocky River Leasing Co., LLC Past Accepting new patients
The Heights Rehabilitation and Healthcare Center LLC Past Accepting new patients
Mahmoud Adam, M.D. Inc Past Accepting new patients
Strongsville Healthcare and Rehabilitation LLC Past Accepting new patients
Regency Hospital of North Central Ohio, LLC Past Accepting new patients
Pleasant Lake Nursing Home, Inc. Past Accepting new patients
Pearl Leasing Co., LLC Past Accepting new patients
Parma SNF Healthcare LLC Past Accepting new patients
Progressive Parma Care Center LLC Past Accepting new patients
Marymount Hospital Inc Past Accepting new patients
Embassy Royal Oak, LLC Past Accepting new patients

Locations

12000 McCracken Rd
Ste 106
Garfield Hts, OH 44125
Phone (216) 332-9559

6990 Engle Rd
Middleburg Heights, OH 44130
Phone (440) 202-4200

6681 Ridge Rd
Ste 300
Parma, OH 44129
Phone (440) 842-3816

6363 York Rd
Ste 103
Parma Heights, OH 44130
Phone (440) 888-1500

Interoperability endpoints

  • Direct secure messaging: ksaghafi@direct.swgeneral.com
  • Direct secure messaging: ksaghafi37655@ehrdirect.uhhospitals.org

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 12

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1659358950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6681 RIDGE ROAD",
            "address_2": "SUITE 300",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295713",
            "telephone_number": "440-842-8675",
            "fax_number": "440-842-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6681 RIDGE ROAD",
            "address_2": "SUITE 300",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295713",
            "telephone_number": "440-842-8675",
            "fax_number": "440-842-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGHAFI",
        "first_name": "KOUROSH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "34006341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0255585",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.