NPIMap

Individual provider Active NPI

Farzad Hashemi Karkvandeian, DO

  • Physical Medicine & Rehabilitation Physician
  • King of Prussia, PA
National Provider Identifier
1669819132
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OS018668 Issued in PA
Practice address
700 S Henderson Rd Ste 308C
King of Prussia, PA 19406-4206
Phone
(610) 337-3111
NPI assigned
May 23, 2013
Last updated
Oct 8, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 279179 NY
Physical Medicine & Rehabilitation Physician 208100000X OS018668 PA Primary
General Practice Physician 208D00000X UO3154 FL

Addresses

Primary practice location

700 S Henderson Rd Ste 308C
King of Prussia, PA 19406-4206

Mailing address

700 S Henderson Rd Ste 308C
King of Prussia, PA 19406-4206
Phone (610) 337-3111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20180822002337 PA Practitioner - Physical Medicine and Rehabilitation 0547519605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Roy M Lerman M D P CGroup PAC ID 5890775878, 14 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

700 S Henderson Rd
Suite 308C
King of Prussia, PA 19406-4206
Phone (610) 337-3111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
279179NYMDPhysical Medicine & Rehabilitation Physician
UO3154FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roy M Lerman MD PC Physical Medicine & Rehabilitation CurrentSince Aug 13, 2018 Accepting new patients

Locations

599 Arcola Rd
Ste 105
Collegeville, PA 19426
Phone (610) 525-7800

700 S Henderson Rd
Ste 308C
Kng of Prussa, PA 19406
Phone (610) 337-3111

Interoperability endpoints

  • Direct secure messaging: farzad.karkvandeian@mls.eclinicaldirectplus.com

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1669819132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S HENDERSON RD STE 308C",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194064206",
            "telephone_number": "610-337-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S HENDERSON RD STE 308C",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194064206",
            "telephone_number": "610-337-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARKVANDEIAN",
        "first_name": "FARZAD",
        "middle_name": "HASHEMI",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-23",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "279179",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "OS018668",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "UO3154",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.