Individual provider Active NPI

Alireza Pirestani, D.O.

  • Family Medicine Physician
  • Bear, DE
National Provider Identifier
1962632364
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C2-0010489 Issued in DE
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

Updated by the provider on Dec 3, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131029000719 DE Practitioner - Internal Medicine 1658515309 Reassigns benefits to 1 organization

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
Westside Family Healthcare, Inc.Group PAC ID 6800706599, 58 clinicians

Practice addresses (Care Compare)

1802 W 4TH St
Wilmington, DE 19805-3420
Phone (302) 655-5576

Hospital & facility affiliations

  • Christianacare Homehealth Home health agency, Wilmington, DE, CCN 087002
  • Christiana Hospital Hospital, Newark, DE, CCN 080001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C2-0010489DEMDPediatrics Physician
125-056572ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Family Healthcare, Inc. CurrentSince Aug 12, 2013 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.