Individual provider Active NPI

Parham Moftakhar, MD

  • Neuroradiology Physician
  • Wilmington, DE
National Provider Identifier
1750600532
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
C1-0011366 Issued in DE
Practice address
2055 Limestone Rd Ste 104
Wilmington, DE 19808-5536
Phone
(302) 933-7860
NPI assigned
May 19, 2010
Last updated
Mar 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X C1-0011366 DE Primary
Diagnostic Radiology Physician 2085R0202X A112460 CA
Diagnostic Radiology Physician 2085R0202X C1-0011366 DE

Addresses

Primary practice location

2055 Limestone Rd Ste 104
Wilmington, DE 19808-5536

Mailing address

226 Athena CT
Wilmington, DE 19808-1567
Phone (415) 933-7860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA, NY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20151027002509 DE Practitioner - Diagnostic Radiology 0345426094 Reassigns benefits to 5 organizations
I20151028002692 PA Practitioner - Diagnostic Radiology 0345426094 Reassigns benefits to 1 organization
I20220301002040 NY Practitioner - Diagnostic Radiology 0345426094 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, Geffen School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lenox Hill Radiology and Medical Imaging Associates PCGroup PAC ID 2264424712, 245 clinicians
Delaware Radiology Associates PAGroup PAC ID 1557620036, 61 clinicians

Practice addresses (Care Compare)

226 Athena CT
Wilmington, DE 19808-1567
Phone (903) 864-1239

40 Polly Drummond Hill Rd
BLDG 4
Newark, DE 19711-5703
Phone (302) 737-5990

61 E 77TH St
New York, NY 10075-1817
Phone (212) 772-3111

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Radiology Associates PLLC Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Christiana Care Health Services Inc Current Accepting new patients
Delaware Radiology Associates PA Diagnostic Radiology CurrentSince Dec 1, 2022 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Neuroradiology CurrentSince Feb 9, 2022 Accepting new patients
Christiana Care Health Services Inc CurrentSince Oct 1, 2015 Accepting new patients
Christiana Care Health Services Inc Diagnostic Radiology CurrentSince Oct 1, 2015 Accepting new patients
Christiana Care Health Services Inc Diagnostic Radiology CurrentSince Oct 1, 2015 Accepting new patients
Christiana Care Health Services Inc CurrentSince Oct 1, 2015 Accepting new patients
Park West Radiology, PC Neuroradiology PastSince Jul 1, 2008 Accepting new patients
Koniver Fiss Mansoory MD PA Diagnostic Radiology Past Accepting new patients
Moftakhar Parham, MD PastSince Jun 1, 2010 Accepting new patients

Locations

200 Hygeia Dr
Ste 2300
Newark, DE 19713
Phone (302) 623-7362

40 Polly Drummond Hill Rd
Bldg 4
Newark, DE 19711
Phone (302) 737-5990

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

2055 Limestone Rd
Ste 104
Wilmington, DE 19808
Phone (302) 633-6200

3401 Brandywine Pkwy
Ste 102
Wilmington, DE 19803
Phone (302) 533-2160

27443 Network Pl
Chicago, IL 60673

29493 Network Pl
Chicago, IL 60673

9 Bond St
Fl 4
Brooklyn, NY 11201
Phone (718) 222-0202

8940 56th Ave
Flushing, NY 11373
Phone (718) 335-5532

18 Squadron Blvd
New City, NY 10956
Phone (845) 368-3002

315 W 57th St
Ste LL4
New York, NY 10019
Phone (212) 698-5300

61 E 77th St
New York, NY 10075
Phone (212) 772-2130

111 N Highland Ave
Nyack, NY 10960
Phone (845) 639-6178

161 Wilmington W Chester Pike
#P
Chadds Ford, PA 19317
Phone (610) 361-1042

Organizations & group practices 12

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": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1750600532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 ATHENA CT",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081567",
            "telephone_number": "415-933-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 LIMESTONE RD STE 104",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085536",
            "telephone_number": "302-933-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFTAKHAR",
        "first_name": "PARHAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "DE",
            "license": "C1-0011366",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A112460",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "C1-0011366",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.