Active NPI
Javad Golzarian, M.D.
- Colon & Rectal Surgery Physician
- Huntsville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 00022613
- Practice address
- 115 Manning Dr SW
Suite D101
Huntsville, AL 35801-4341 - Phone
- (256) 533-6070
- Fax
- (256) 533-9374
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 00022613 | AL | Primary |
Addresses
Primary practice location
115 Manning Dr SW
Suite D101
Huntsville, AL 35801-4341
Mailing address
115 Manning Dr SW
Suite D101
Huntsville, AL 35801-4341
Phone (256) 533-6070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000008573 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Colorectal Surgery (Proctology)
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
115 Manning Dr SW
Suite D101
Huntsville, AL 35801-4341
Phone (256) 533-6070
115 Manning SWDR
D101
Huntsville, AL 35801-4341
Hospital & facility affiliations
- Huntsville Hospital
- Crestwood Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 24.16 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 80.53
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 174 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00022613 | AL | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinic for Colon & Rectal Surgery, P.a. | Colon & Rectal Surgery | Current | Accepting new patients |
Locations
115 Manning Dr SW
Ste D101
Huntsville, AL 35801
Phone (256) 533-6070
Organizations & group practices 1
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.
-
- Colon & Rectal Surgery Physician
- Huntsville, AL
- NPI 1518918739
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Huntsville, AL
- NPI 1023061496
-
- General Acute Care Hospital
- Huntsville, AL
- NPI 1447221056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649030400000",
"number": "1922058411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 MANNING DR SW",
"address_2": "SUITE D101",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358014341",
"telephone_number": "256-533-6070",
"fax_number": "256-533-9374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 MANNING DR SW",
"address_2": "SUITE D101",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358014341",
"telephone_number": "256-533-6070",
"fax_number": "256-533-9374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLZARIAN",
"first_name": "JAVAD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2022-04-04",
"certification_date": "2022-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "AL",
"license": "00022613",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000008573",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.