Individual provider Active NPI

Morteza Nadjafi, M.D.

  • Psychiatry Physician
  • Orlando, FL
National Provider Identifier
1912954660
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0027588 Issued in FL
Practice address
736 N Magnolia Ave
Orlando, FL 32803-3809
Phone
(407) 423-7149
Fax
(407) 422-0470
NPI assigned
May 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X ME0027588 FL
Psychiatry Physician 2084P0800X ME0027588 FL Primary

Addresses

Primary practice location

736 N Magnolia Ave
Orlando, FL 32803-3809

Mailing address

736 N Magnolia Ave
Orlando, FL 32803-3809
Phone (407) 423-7149

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
I20100315000511 FL Practitioner - Psychiatry 2769517853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Psychiatric Group PAGroup PAC ID 0446556716, 16 clinicians

Practice addresses (Care Compare)

736 N Magnolia Ave
Orlando, FL 32803-3809
Phone (407) 423-7149

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0027588FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Psychiatric Group, PA CurrentSince Apr 6, 2016 Accepting new patients
Apg Research, LLC Past Accepting new patients

Locations

3300 W Lake Mary Blvd
Ste 300
Lake Mary, FL 32746
Phone (407) 423-7149

736 N Magnolia Ave
Orlando, FL 32803
Phone (407) 423-7149

721 N Magnolia Ave
Orlando, FL 32803
Phone (407) 423-7149

Interoperability endpoints

  • Direct secure messaging: apghealthcare.mortezanadjafi@139541.advancedmd-direct.com

Organizations & group practices 2

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1912954660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 N MAGNOLIA AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033809",
            "telephone_number": "407-423-7149",
            "fax_number": "407-422-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 N MAGNOLIA AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033809",
            "telephone_number": "407-423-7149",
            "fax_number": "407-422-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADJAFI",
        "first_name": "MORTEZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME0027588",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0027588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.