NPIMap

Individual provider Active NPI

Farzin Fotouhi, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lima, OH
National Provider Identifier
1679562920
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
35076759 Issued in OH
Practice address
951 Commerce Pkwy
Suite 201
Lima, OH 45804-4040
Phone
(419) 227-7702
Fax
(419) 227-7991
NPI assigned
Oct 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 35076759 OH Primary

Addresses

Primary practice location

951 Commerce Pkwy
Suite 201
Lima, OH 45804-4040

Mailing address

951 Commerce Pkwy
Suite 201
Lima, OH 45804-4040
Phone (419) 227-7702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20170126002378 MO Practitioner - Thoracic Surgery 4385669076 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Tufts University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, 1,121 clinicians
Boone Physician Services LLCGroup PAC ID 6507090644, 243 clinicians
Mercy Clinic Cardiovascular and Thoracic Surgery LLCGroup PAC ID 6204832199, shared by 2 NPIs, 23 clinicians

Practice addresses (Care Compare)

1235 E Cherokee St
Springfield, MO 65804-2203
Phone (417) 820-2600

1600 E Broadway
Columbia, MO 65201-5844
Phone (573) 815-8000

1723 Broadway St
Suite 210
Cape Girardeau, MO 63701-4556
Phone (537) 331-7841

625 S New Ballas Rd
R 7040
Saint Louis, MO 63141-8253
Phone (314) 251-6970

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35076759OHMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities CurrentSince Dec 20, 2023 Accepting new patients
Mercy Clinic Cardiovascular and Thoracic Surgery, LLC CurrentSince Jan 19, 2017 Accepting new patients
Boone Physician Services, LLC CurrentSince Feb 26, 2024 Accepting new patients
Mercy Clinic Cardiovascular and Thoracic Surgery, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jan 19, 2017 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Dec 20, 2023 Accepting new patients
Southeast Missouri Hospital Physicians, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Apr 4, 2025 Accepting new patients
Mercy Hospitals East Communities Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1723 Broadway St
Ste 210
Cape Girardeau, MO 63701
Phone (573) 331-7840

1705 E Broadway
Ste 280
Columbia, MO 65201
Phone (573) 815-7119

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

1605 E Broadway
Ste 210
Columbia, MO 65201
Phone (573) 815-2236

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

625 S New Ballas Rd
#R7040
Saint Louis, MO 63141

625 S New Ballas Rd
Ste 700
Saint Louis, MO 63141

625 S New Ballas Rd
Ste R7040
Saint Louis, MO 63141
Phone (314) 251-5756

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

901 Patients First Dr
Ste 2500
Washington, MO 63090

Organizations & group practices 9

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 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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1679562920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 COMMERCE PKWY",
            "address_2": "SUITE 201",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458044040",
            "telephone_number": "419-227-7702",
            "fax_number": "419-227-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 COMMERCE PKWY",
            "address_2": "SUITE 201",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458044040",
            "telephone_number": "419-227-7702",
            "fax_number": "419-227-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOTOUHI",
        "first_name": "FARZIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OH",
            "license": "35076759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.