Individual provider Active NPI

Soghra Homafar, MD

  • Obstetrics & Gynecology Physician
  • Kent, OH
National Provider Identifier
1780751289
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35-073775 Issued in OH
Practice address
401 Devon PL
Suite 210
Kent, OH 44240-6482
Phone
(330) 676-9465
Fax
(330) 677-4066
NPI assigned
Nov 29, 2006
Last updated
Jan 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35-073775 OH Primary

Addresses

Primary practice location

401 Devon PL
Suite 210
Kent, OH 44240-6482

Mailing address

4923 Bayside Drive
Stow, OH 44224
Phone (330) 655-5888

Other identifiers 1

IdentifierTypeStateIssuer
2079352MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address soghrahomafar@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20031215000418 OH Practitioner - Obstetrics/Gynecology 4880591262 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wright State University Boonshoft School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-073775OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
University Hospitals Medical Group Inc Obstetrics & Gynecology CurrentSince Jun 13, 2024 Accepting new patients
University Primary Care Practices Past Accepting new patients
University Hospitals Cleveland Medical Center Past Accepting new patients
Falls Family Practice Inc Past Accepting new patients
LHC, Inc Dba a Woman's Place Past Accepting new patients

Locations

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

11100 Euclid Ave
Cleveland Heights, OH 44106

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

Interoperability endpoints

  • Direct secure messaging: shomafar164755@direct.ccf.org
  • Direct secure messaging: shomafar36972@ehrdirect.uhhospitals.org

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 1

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1780751289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4923 BAYSIDE DRIVE",
            "city": "STOW",
            "state": "OH",
            "postal_code": "44224",
            "telephone_number": "330-655-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 DEVON PL",
            "address_2": "SUITE 210",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442406482",
            "telephone_number": "330-676-9465",
            "fax_number": "330-677-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMAFAR",
        "first_name": "SOGHRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35-073775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2079352",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "soghrahomafar@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "401 Devon Pl",
            "address_2": "Suite 210",
            "city": "Kent",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442406482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kent, OH

Sources for this page

Verify at the official NPI Registry.