Individual provider Active NPI

Mehrdad Ghaffari, M.D.

  • Sleep Medicine (Family Medicine) Physician
  • Altoona, PA
National Provider Identifier
1770700718
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
License
MD431021 Issued in PA
Practice address
1414 Ninth Ave
Station Medical Center
Altoona, PA 16602-2415
Phone
(814) 946-1655
Fax
(814) 949-7616
NPI assigned
Apr 19, 2007
Last updated
Jul 25, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X MD0431021 PA
Sleep Medicine (Family Medicine) Physician 207QS1201X MD431021 PA Primary

Addresses

Primary practice location

1414 Ninth Ave
Station Medical Center
Altoona, PA 16602-2415

Mailing address

1414 Ninth Ave
Station Medical Center
Altoona, PA 16602-2415
Phone (814) 946-1655

Other identifiers 1

IdentifierTypeStateIssuer
1021830380001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20080812000714 PA Practitioner - Pulmonary Disease 4587739438 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1400 9TH Ave
Altoona, PA 16602-2415
Phone (814) 941-8811

1414 9TH Ave
Blair Medical Assocs
Altoona, PA 16602-2415
Phone (814) 946-1655

620 Howard Ave
Altoona, PA 16601-4804
Phone (814) 889-6157

620 Howard Ave
Suite 7
Altoona, PA 16601-4899
Phone (814) 889-2328

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.06 of 100Reported as group
Quality
85
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.88 of 100Reported as group
Quality
62.63
Promoting interoperability
100
Improvement activities
40
Cost
70.3

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0431021PAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blair Medical Associates Current Accepting new patients
Upmc Altoona Regional Health Services, Inc Current Accepting new patients
Pittsburgh Critical Care Associates, Inc CurrentSince Aug 1, 2011 Accepting new patients
Upmc Altoona Regional Health Services, Inc Pulmonary Disease CurrentSince Jul 1, 2008 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Upmc Altoona Past Accepting new patients
Upmc Altoona Past Accepting new patients

Locations

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

Interoperability endpoints

  • Direct secure messaging: mehrdad.ghaffari@upmcdirect.com

Organizations & group practices 8

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311552000000",
    "number": "1770700718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 NINTH AVE",
            "address_2": "STATION MEDICAL CENTER",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166022415",
            "telephone_number": "814-946-1655",
            "fax_number": "814-949-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 NINTH AVE",
            "address_2": "STATION MEDICAL CENTER",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166022415",
            "telephone_number": "814-946-1655",
            "fax_number": "814-949-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAFFARI",
        "first_name": "MEHRDAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2011-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD0431021",
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "PA",
            "license": "MD431021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021830380001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.