Individual provider Active NPI

Milad Sean Hedayat, DPM

  • Foot & Ankle Surgery Podiatrist
  • Sherman Oaks, CA
National Provider Identifier
1801377890
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5489 Issued in CA
Practice address
4955 Van Nuys Blvd Ste 107
Sherman Oaks, CA 91403-1806
Phone
(818) 995-8228
Fax
(818) 995-1539
NPI assigned
Aug 27, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E5489 CA Primary

Addresses

Primary practice location

4955 Van Nuys Blvd Ste 107
Sherman Oaks, CA 91403-1806

Mailing address

9 Landmark PL
Aliso Viejo, CA 92656-3329
Phone (949) 292-5804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181109000331 CA Practitioner - Podiatry 4981958956 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Western Un of HLTH Sciences, Col of Podiatric Med, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Home Foot Care IncGroup PAC ID 4981744257, 25 clinicians

Practice addresses (Care Compare)

12520 Magnolia Blvd
Suite 304
Valley Village, CA 91607-2355
Phone (818) 452-9902

4955 Van Nuys Blvd
Suite 107
Sherman Oaks, CA 91403-1806
Phone (818) 995-8228

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1244
Removal or shaving of skin growth583

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5489CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael D. Kotzen, Inc. Single Specialty CurrentSince Sep 13, 2020 Accepting new patients
Milad Sean Hedayat, D.P.M., PC Single Specialty CurrentSince Feb 1, 2022 Accepting new patients
Home Foot Care, Inc. Single Specialty CurrentSince Aug 30, 2018 Accepting new patients
Leonard R Wagner DPM a Professional Corporation Single Specialty PastSince Feb 1, 2022 Accepting new patients

Locations

4955 Van Nuys Blvd
Ste 107
Sherman Oaks, CA 91403
Phone (818) 995-8228

12520 Magnolia Blvd
Ste 304
Valley Vlg, CA 91607
Phone (818) 452-9902

Interoperability endpoints

  • Direct secure messaging: mhedayat@mshdp-ca.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1801377890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 LANDMARK PL",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563329",
            "telephone_number": "949-292-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 VAN NUYS BLVD STE 107",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031806",
            "telephone_number": "818-995-8228",
            "fax_number": "818-995-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDAYAT",
        "first_name": "MILAD",
        "middle_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-27",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.