Individual provider Active NPI

Javad Golzarian, M.D.

  • Colon & Rectal Surgery Physician
  • Huntsville, AL
National Provider Identifier
1922058411
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
00022613 Issued in AL
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

Updated by the provider on Apr 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000008573MedicaidAL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100922000602 AL Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 6608816806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinic for Colon and Rectal Surgery, P.a.Group PAC ID 4082654280, 5 clinicians

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 Hospital, Huntsville, AL, CCN 010039
  • Crestwood Medical Center Hospital, Huntsville, AL, CCN 010131

Merit-based Incentive Payment System (MIPS)

Final score
24.16 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
80.53

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy174

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00022613ALMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinic for Colon & Rectal Surgery, P.a. Colon & Rectal Surgery CurrentSince Jul 1, 1999 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.