Individual provider Active NPI

Andreh Saralou

  • Family Medicine Physician
  • Miramar, FL
National Provider Identifier
1922440734
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A126581 Issued in CA
Practice address
3601 SW 160TH Ave
Ste 250
Miramar, FL 33027-6308
Phone
(877) 866-7123
NPI assigned
Jul 22, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A126581 CA Primary
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X SINGLE SPECIALTY GROUP 390200000X A126581 CA

Addresses

Primary practice location

3601 SW 160TH Ave
Ste 250
Miramar, FL 33027-6308

Mailing address

26147 Hatmor Dr
Calabasas, CA 91302-1021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20140102001226 CA Practitioner - General PracticePractitioner - General SurgeryPractitioner - Peripheral Vascular Disease 6204064967 Reassigns benefits to 1 organization
Practice locations: Fresno, CA

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: General Surgery, Peripheral Vascular Disease
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

26147 Hatmor Dr
Calabasas, CA 91302-1021
Phone (818) 667-8655

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
85
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue626
Skin biopsy11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
126581CAMDMarriage & Family Therapist
A126581CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Andreh Saralou MD Incorporated Single Specialty CurrentSince Feb 18, 2017 Accepting new patients
Peter Jahangir Parker, MD, Inc. Single Specialty PastSince May 22, 2022 Accepting new patients

Locations

3710 W Tulare Ave
Visalia, CA 93277
Phone (559) 688-0288

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": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382400000000",
    "number": "1922440734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26147 HATMOR DR",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 SW 160TH AVE",
            "address_2": "STE 250",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330276308",
            "telephone_number": "877-866-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARALOU",
        "first_name": "ANDREH",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A126581",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "A126581",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.