Organization Active NPI

Mohadjer Consulting LLC

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • St Petersburg, FL
National Provider Identifier
1831735224
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
Legal business name
MOHADJER CONSULTING LLC
Practice address
8855 9TH St N Ste 100
St Petersburg, FL 33702-3443
Phone
(727) 888-5437
Fax
(727) 279-4822
NPI assigned
Nov 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Authorized official

Name
Dr. Yasaman Mohadjer, M.D.NPI 1841231297
Title
Owner/President
Phone
(727) 888-5437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0200X Primary

Addresses

Primary practice location

8855 9TH St N Ste 100
St Petersburg, FL 33702-3443

Mailing address

8855 9TH St N Ste 100
St Petersburg, FL 33702-3443
Phone (727) 888-5437

Other names 1

  • Eyelid Surgeons of Tampa Bay Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200226001624 FL Part B Supplier - Clinic/Group Practice 1850728148 Receives reassigned benefits from 1 practitioner
Practice locations: St Petersburg, FL

National Provider Directory

National Provider Directory

Locations

8855 Dr Martin Luther King Jr St N
Ste 100
St Petersburg, FL 33702
Phone (727) 888-5437

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580256000000",
    "number": "1831735224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8855 9TH ST N STE 100",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337023443",
            "telephone_number": "727-888-5437",
            "fax_number": "727-279-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8855 9TH ST N STE 100",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337023443",
            "telephone_number": "727-888-5437",
            "fax_number": "727-279-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHADJER CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-21",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A",
        "authorized_official_last_name": "MOHADJER",
        "authorized_official_first_name": "YASAMAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "727-888-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyelid Surgeons of Tampa Bay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.