Ali Ghasemzadeh, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

35080480 Issued in OH

Practice address

5062 State Route 125
Georgetown, OH 45121-9561

Phone

(937) 378-9090

Fax

(937) 378-0102

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH, KY2 enrollments

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 2

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Meadowview Regional Medical Center Hospital, Maysville, KY, CCN 180019
• Christ Hospital Hospital, Cincinnati, OH, CCN 360163
• Mercy Health - Clermont Hospital Hospital, Batavia, OH, CCN 360236

Merit-based Incentive Payment System (MIPS)

Final score

20.5 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

68.32

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ag Cardiology, Inc

  • Cardiovascular Disease Physician
  • Georgetown, OH
  • NPI 1174700306

  KY

  Medicare reassignment NPD Authorized official
• Allendale County Hospital Board

  • Rural Health Clinic/Center
  • Allendale, SC
  • NPI 1407906878
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christ Hospital

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1780633289
  Care Compare affiliation
• Mercy Health - Clermont Hospital LLC

  • General Acute Care Hospital
  • Batavia, OH
  • NPI 1568562551
  Care Compare affiliation
• Meadowview Regional Medical Center LLC

  • Rural Health Clinic/Center
  • Maysville, KY
  • NPI 1821135518

  Hospital

  Care Compare affiliation
• Meadowview Regional Medical Center LLC

  • Rural Acute Care Hospital
  • Maysville, KY
  • NPI 1881785863
  Care Compare affiliation

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1710096839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 577",
            "city": "GEORGETOWN",
            "state": "OH",
            "postal_code": "45121",
            "telephone_number": "937-378-9090",
            "fax_number": "937-378-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5062 STATE ROUTE 125",
            "city": "GEORGETOWN",
            "state": "OH",
            "postal_code": "451219561",
            "telephone_number": "937-378-9090",
            "fax_number": "937-378-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHASEMZADEH",
        "first_name": "ALI",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35080480",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "38551",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "0904701",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "64073497",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2291738",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genesis Respiratory Services Inc
• Ene G George, MD
• Georgetown Emergency Group PC Inc.
• Georgetown Exempted Village School District
• Georgetown Volunteer Life Squad Association
• Michael Gorham, PHARMACIST
• Amy Gray
• Amanda Gregoire
• Grow Inc
• Christopher Haas, MD

• Cardiovascular Disease Physician in Georgetown, OH
• Providers in Georgetown, OH by specialty
• Cardiovascular Disease Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.

Verify at the official NPI Registry.