Active NPI
Alireza Pirestani, D.O.
- Family Medicine Physician
- Bear, DE
National Provider Identifier
1962632364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C2-0010489
- Practice address
- 404 Fox Hunt Dr
Bear, DE 19701 - Phone
- (302) 652-2455
- Fax
- (302) 322-6201
- NPI assigned
- Jul 20, 2009
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125-056572 | IL | |
| Internal Medicine Physician | 207R00000X | C2-0010489 | DE | |
| Pediatrics Physician | 208000000X | C2-0010489 | DE | |
| Pediatrics Physician | 208000000X | 125-056572 | IL | |
| Family Medicine Physician | 207Q00000X | C2-0010489 | DE | Primary |
Addresses
Primary practice location
404 Fox Hunt Dr
Bear, DE 19701
Mailing address
PO Box 151
New Castle, DE 19720-0151
Phone (302) 652-2455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- 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
- Internal Medicine
- Education
- Philadelphia College of Osteopathic Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1802 W 4TH St
Wilmington, DE 19805-3420
Phone (302) 655-5576
Hospital & facility affiliations
- Christianacare Homehealth
- Christiana Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2-0010489 | DE | MD | Pediatrics Physician |
| 125-056572 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westside Family Healthcare, Inc. | Current | Accepting new patients | |
| Westside Family Healthcare, Inc. | Past | Accepting new patients | |
| Westside Family Healthcare, Inc | Past | Accepting new patients |
Locations
1802 W 4th St
Wilmington, DE 19805
Phone (302) 655-5576
Interoperability endpoints
- alirezapirestani@wfh.allscriptsdirect.net
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.
-
- Federally Qualified Health Center (FQHC)
- Wilmington, DE
- NPI 1952303695
-
- Federally Qualified Health Center (FQHC)
- Newark, DE
- NPI 1801898556
-
- Federally Qualified Health Center (FQHC)
- Wilmington, DE
- NPI 1669479929
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Wilmington, DE
- NPI 1437152154
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638489600000",
"number": "1962632364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 151",
"city": "NEW CASTLE",
"state": "DE",
"postal_code": "197200151",
"telephone_number": "302-652-2455",
"fax_number": "302-322-6251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 FOX HUNT DR",
"city": "BEAR",
"state": "DE",
"postal_code": "19701",
"telephone_number": "302-652-2455",
"fax_number": "302-322-6201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIRESTANI",
"first_name": "ALIREZA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-20",
"last_updated": "2021-12-03",
"certification_date": "2021-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125-056572",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DE",
"license": "C2-0010489",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "DE",
"license": "C2-0010489",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "125-056572",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DE",
"license": "C2-0010489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bear, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.