Individual provider Active NPI

Pedram Kazemian, MD

  • Clinical Cardiac Electrophysiology Physician
  • Browns Mills, NJ
National Provider Identifier
1891078358
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
25MA09403500 Issued in NJ
Practice address
200 Trenton Road
Browns Mills, NJ 08015
Phone
(609) 893-6611
NPI assigned
Sep 21, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MA09403500 NJ
Clinical Cardiac Electrophysiology Physician 207RC0001X 25MA09403500 NJ Primary

Addresses

Primary practice location

200 Trenton Road
Browns Mills, NJ 08015

Mailing address

200 Trenton Road
Browns Mills, NJ 08015
Phone (609) 893-6611

Other identifiers 1

IdentifierTypeStateIssuer
0392324MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20140318000114 NJ Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 3577794460 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deborah Cardiovascular Group, P.C.Group PAC ID 7618962549, 40 clinicians
Professional Service Fund of Deborah Heart and Lung CenterGroup PAC ID 4284537499, 118 clinicians

Practice addresses (Care Compare)

1364 Route 72 W
Manahawkin, NJ 08050-2485
Phone (609) 597-3417

200 Trenton Rd
Browns Mills, NJ 08015-1705
Phone (609) 893-6611

212 Trenton Rd
Browns Mills, NJ 08015-1705
Phone (609) 893-6611

550 Route 530
Unit 20a
Whiting, NJ 08759-3140
Phone (609) 836-6606

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.33 of 100Reported as group
Quality
96.63
Promoting interoperability
99
Improvement activities
40
Cost
81.81

Merit-based Incentive Payment System (MIPS)

Final score
84.95 of 100Reported as group
Quality
71.98
Promoting interoperability
90
Improvement activities
40
Cost
78.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09403500NJMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah Heart and Lung Center Current Accepting new patients
Deborah Cardiovascular Group, P.C. CurrentSince Jun 1, 2014 Accepting new patients
Professional Service Fund of Deborah Heart & Lung Center CurrentSince Dec 31, 2013 Accepting new patients
Professional Service Fund of Deborah- Anesthesia Current Accepting new patients

Locations

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

415 Chris Gaupp Dr
Ste C
Galloway, NJ 08205
Phone (609) 748-7574

1364 Route 72 W
Ste 6
Manahawkin, NJ 08050
Phone (732) 425-7772

1364 Route 72 W
Ste 2
Manahawkin, NJ 08050
Phone (609) 597-3416

1364 Route 72 W
Ste 5
Manahawkin, NJ 08050
Phone (609) 978-0778

1364 Route 72 W
Manahawkin, NJ 08050
Phone (609) 597-3416

1364 Route 72 W
Ste 56
Manahawkin, NJ 08050

550 Route 530
Ste 20A
Whiting, NJ 08759

550 Route 530
Unit 20A
Whiting, NJ 08759

550 Route 530
Whiting, NJ 08759
Phone (732) 350-2727

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11366/brand/2/csg/1/fhir/r4
  • Direct secure messaging: medrecs@deborah.medalliesdirect.net

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.

Hospital & facility affiliations 5

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": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1891078358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TRENTON ROAD",
            "city": "BROWNS MILLS",
            "state": "NJ",
            "postal_code": "08015",
            "telephone_number": "609-893-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TRENTON ROAD",
            "city": "BROWNS MILLS",
            "state": "NJ",
            "postal_code": "08015",
            "telephone_number": "609-893-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZEMIAN",
        "first_name": "PEDRAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-21",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA09403500",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NJ",
            "license": "25MA09403500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0392324",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Browns Mills, NJ

Sources for this page

Verify at the official NPI Registry.