Individual provider Active NPI

Niloufar Pourmasiha, DO

  • Anesthesiology Physician
  • Parkland, FL
National Provider Identifier
1689995250
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OS12637 Issued in FL
Practice address
8995 Watercrest Cir E
Parkland, FL 33076
Phone
(305) 310-0843
NPI assigned
Jun 18, 2010
Last updated
May 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X OS12637 FL Primary

Addresses

Primary practice location

8995 Watercrest Cir E
Parkland, FL 33076

Mailing address

8995 Watercrest Cir E
Parkland, FL 33076-2851
Phone (305) 310-0843

Other practice location 1

66 West Gilbert Street
2nd Floor
Red Bank, NJ 07701-4947
Phone (732) 212-0051 ext. 253

Other identifiers 1

IdentifierTypeStateIssuer
0236942MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141022001878 FL Practitioner - AnesthesiologyPractitioner - Pathology 5193910461 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minimally Invasive Surgicenter LLC CurrentSince Dec 13, 2020 Accepting new patients
Galloway Anesthesia Associates, LLC Anesthesiology CurrentSince Mar 2, 2020 Accepting new patients
Galloway Anesthesia Associates LLC Anesthesiology CurrentSince Mar 2, 2020 Accepting new patients

Locations

2351 S Seacrest Blvd
Ste 138
Boynton Beach, FL 33435
Phone (561) 732-5900

6646 Atlantic Ave
Ste 200
Delray Beach, FL 33446
Phone (561) 774-2646

7152 Coca Sabal Ln
Fort Myers, FL 33908
Phone (239) 939-9939

515 W State Road 434
Ste 105
Longwood, FL 32750
Phone (407) 260-6000

7600 SW 87th Ave
Ste 100
Miami, FL 33173
Phone (786) 235-3750

9415 SW 72nd St
Ste 274
Miami, FL 33173
Phone (305) 468-4184

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1689995250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8995 WATERCREST CIR E",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330762851",
            "telephone_number": "305-310-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8995 WATERCREST CIR E",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "33076",
            "telephone_number": "305-310-0843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "66 West Gilbert Street",
            "address_2": "2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Red Bank",
            "state": "NJ",
            "postal_code": "077014947",
            "country_code": "US",
            "telephone_number": "732-212-0051 x253",
            "fax_number": "732-212-0713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POURMASIHA",
        "first_name": "NILOUFAR",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-18",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "OS12637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0236942",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkland, FL

Sources for this page

Verify at the official NPI Registry.