Individual provider Active NPI

Yasaman Mohadjer, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • St Petersburg, FL
National Provider Identifier
1841231297
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
ME100980 Issued in FL
Practice address
8855 9TH St N Ste 100
St Petersburg, FL 33702-3443
Phone
(727) 888-5437
Fax
(727) 279-4822
NPI assigned
Jun 9, 2006
Last updated
Apr 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME100980 FL
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X ME100980 FL 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200226001925 FL Practitioner - OphthalmologyPractitioner - Plastic and Reconstructive Surgery 0840293536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Plastic and Reconstructive Surgery
Education
University of Alabama School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8855 9TH St N
Suite 100
St Petersburg, FL 33702-3427
Phone (727) 888-5437

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.65 of 100Reported as individual
Quality
99.36
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME100980FLMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mohadjer Consulting LLC Ophthalmic Plastic and Reconstructive Surgery CurrentSince Feb 4, 2020 Accepting new patients
The Eye Physicians of Pinellas, PA Past Accepting new patients
Ophthalmic Plastic & Cosmetic Surgery, Inc. PastSince Jan 1, 2003 Accepting new patients

Locations

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

Interoperability endpoints

  • Direct secure messaging: ymohadjer@directaddress.net

Organizations & group practices 3

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 3

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1841231297",
    "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": {
        "last_name": "MOHADJER",
        "first_name": "YASAMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME100980",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME100980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.