Individual provider Active NPI

Parham Eftekhari, D.O.

  • Nephrology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1922285998
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
FS OS11227 Issued in FL
Practice address
407 SE 9TH Street
Suite 103
Fort Lauderdale, FL 33316
Phone
(954) 463-0112
Fax
(954) 463-0117
NPI assigned
Jan 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X FS OS11227 FL Primary

Addresses

Primary practice location

407 SE 9TH Street
Suite 103
Fort Lauderdale, FL 33316

Mailing address

407 SE 9TH St
Suite 103
Fort Lauderdale, FL 33316-1113
Phone (954) 463-0112

Other identifiers 1

IdentifierTypeStateIssuer
003502800MedicaidFL

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
I20110609000692 FL Practitioner - Nephrology 4880871375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Kidney Physicians LLCGroup PAC ID 4385925650, 167 clinicians

Practice addresses (Care Compare)

407 SE 9TH St
Suite 103
Fort Lauderdale, FL 33316-1113
Phone (954) 463-0112

Hospital & facility affiliations

  • DaVita East Ft Lauderdale Dialysis Center Dialysis facility, Fort Lauderdale, FL, CCN 102805
  • DaVita Inverrary Dialysis Dialysis facility, Lauderhill, FL, CCN 682658
  • DaVita Pine Island Kidney Center Dialysis facility, Plantation, FL, CCN 102708
  • Broward Health Medical Center Hospital, Fort Lauderdale, FL, CCN 100039
  • Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073
  • Broward Health Imperial Point Hospital, Fort Lauderdale, FL, CCN 100200

Merit-based Incentive Payment System (MIPS)

Final score
95.26 of 100Reported as individual
Quality
73.2
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
FS OS11227FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Kidney Physicians, LLC Nephrology CurrentSince Jun 11, 2018 Accepting new patients
Florida Kidney Physicians , LLC Nephrology CurrentSince Jun 11, 2018 Accepting new patients
Dva Healthcare Renal Care Inc PastSince Apr 1, 2019 Accepting new patients

Locations

4534 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 493-9774

407 SE 9th St
Ste 103
Ft Lauderdale, FL 33316
Phone (954) 463-0112

2100 E Hallandale Beach Blvd
Ste 202
Hallandale Beach, FL 33009
Phone (954) 239-0578

1150 N 35th Ave
Ste 620
Hollywood, FL 33021
Phone (954) 612-8173

19056 NE 29th Ave
Miami, FL 33180
Phone (305) 354-4558

12662 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 910-8708

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4
  • Direct secure messaging: parham.eftekhari.1@15644.direct.athenahealth.com

Organizations & group practices 3

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 8

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": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1922285998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 SE 9TH ST",
            "address_2": "SUITE 103",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161113",
            "telephone_number": "954-463-0112",
            "fax_number": "954-463-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 SE 9TH STREET",
            "address_2": "SUITE 103",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33316",
            "telephone_number": "954-463-0112",
            "fax_number": "954-463-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFTEKHARI",
        "first_name": "PARHAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-22",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "FS OS11227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003502800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.