Individual provider Active NPI

Soheil Sabzevari

  • Orthopaedic Surgery Physician
  • Ruston, LA
National Provider Identifier
1831816016
Registry record updated Jul 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
344843 Issued in LA
Practice address
411 E Vaughn Ave Ste 104
Ruston, LA 71270-5975
Phone
(318) 254-2453
NPI assigned
Oct 27, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4301511070 MI
Student in an Organized Health Care Education/Training Program 390200000X
Orthopaedic Surgery Physician 207X00000X 344843 LA Primary

Addresses

Primary practice location

411 E Vaughn Ave Ste 104
Ruston, LA 71270-5975

Mailing address

411 E Vaughn Ave Ste 104
Ruston, LA 71270-5975
Phone (318) 254-2453

Other practice location 1

10000 Telegraph Rd Ste 100
Taylor, MI 48180-3330
Phone (313) 887-6000

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL securerecords.sanford.html Memorial Sloan Kettering Cancer Center
CONNECT URL securerecord.sanford.html Yale New Haven Hospital

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20250603001781 LA Practitioner - Orthopedic Surgery 0143684654 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CLHG-Ruston LLC CurrentSince Mar 23, 2025 Accepting new patients
CLHG-Ruston LLC Current Accepting new patients
CLHG-Ruston LLC CurrentSince Mar 23, 2025 Accepting new patients
CLHG-Ruston LLC Past Accepting new patients

Locations

401 E Vaughn Ave
Ruston, LA 71270
Phone (318) 254-2100

411 E Vaughn Ave
Ste 104
Ruston, LA 71270
Phone (318) 254-2453

Interoperability endpoints

  • Direct secure messaging: soheil.sabzevari.1@26990.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CLHG-Ruston LLC 24 clinicians

Practice addresses (Care Compare)

401 E Vaughn Ave
Ruston, LA 71270-5950
Phone (318) 254-2453

411 E Vaughn Ave
Ruston, LA 71270-5975
Phone 31825424535975

Hospital & facility affiliations

  • Northern Louisiana Medical Center Hospital, Ruston, LA, CCN 190086

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

NPI Registry JSON

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752364800000",
    "number": "1831816016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E VAUGHN AVE STE 104",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705975",
            "telephone_number": "318-254-2453",
            "fax_number": "318-254-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E VAUGHN AVE STE 104",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705975",
            "telephone_number": "318-254-2453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10000 Telegraph Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Taylor",
            "state": "MI",
            "postal_code": "481803330",
            "country_code": "US",
            "telephone_number": "313-887-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SABZEVARI",
        "first_name": "SOHEIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-27",
        "last_updated": "2025-07-13",
        "certification_date": "2025-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301511070",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "344843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "securerecords.sanford.html",
            "affiliation": "Y",
            "affiliationName": "Memorial Sloan Kettering Cancer Center",
            "address_1": "1275 York Ave",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100656007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "securerecord.sanford.html",
            "affiliation": "Y",
            "affiliationName": "Yale New Haven Hospital",
            "address_1": "20 York St",
            "city": "New Haven",
            "state": "CT",
            "country_code": "US",
            "postal_code": "065103220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

Verify at the official NPI Registry.