Individual provider Active NPI

Habibeh Gitiforooz, MD

  • Obstetrics & Gynecology Physician
  • Lakewood, OH
National Provider Identifier
1912959909
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35078025 Issued in OH
Practice address
1450 Belle Ave
Suite 300
Lakewood, OH 44107-4202
Phone
(216) 529-2913
Fax
(216) 529-2936
NPI assigned
May 17, 2006
Last updated
Jan 13, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35078025 OH Primary

Addresses

Primary practice location

1450 Belle Ave
Suite 300
Lakewood, OH 44107-4202

Mailing address

1450 Belle Ave
Suite 300
Lakewood, OH 44107-4202
Phone (216) 529-2913

Other identifiers 6

IdentifierTypeStateIssuer
P00315481OtherOHRRCARE
737243OtherOHBCHP
000000362095OtherOHANTHEM BC/BS
2229127MedicaidOH
341542312111OtherOHCARESOURCE
351252OtherOHWELLCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050321000582 OH Practitioner - Obstetrics/Gynecology 1850346099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Womens Health and Surgery LLCGroup PAC ID 0749515641, 2 clinicians

Practice addresses (Care Compare)

27877 Clemens Rd
Westlake, OH 44145-1167
Phone (440) 772-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35078025OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Lakewood Hospital Association Obstetrics & Gynecology Past Accepting new patients
Lake Point Medical Group, LLC Past Accepting new patients
Lakewood Hospital Association Past Accepting new patients
Emh Professional Services Inc. Obstetrics & Gynecology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hgitiforooz218826@ehrdirect.uhhospitals.org
  • Direct secure messaging: hgitiforooz502@direct.ccf.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1912959909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 BELLE AVE",
            "address_2": "SUITE 300",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074202",
            "telephone_number": "216-529-2913",
            "fax_number": "216-529-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 BELLE AVE",
            "address_2": "SUITE 300",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074202",
            "telephone_number": "216-529-2913",
            "fax_number": "216-529-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITIFOROOZ",
        "first_name": "HABIBEH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35078025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRCARE",
            "identifier": "P00315481",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCHP",
            "identifier": "737243",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000362095",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2229127",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "341542312111",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "351252",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, OH

Sources for this page

Verify at the official NPI Registry.