NPIMap

Individual provider Active NPI

Sassan Keshavarzi, M.D.

  • Neurological Surgery Physician
  • New Orleans, LA
National Provider Identifier
1972754927
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
332737 Issued in LA
Practice address
1415 Tulane Ave FL 5
New Orleans, LA 70112-2600
Phone
(504) 988-5263
NPI assigned
Oct 8, 2008
Last updated
Oct 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X A99882 CA
Neurological Surgery Physician 207T00000X 332737 LA Primary

Addresses

Primary practice location

1415 Tulane Ave FL 5
New Orleans, LA 70112-2600

Mailing address

2701 Chester Ave
Ste 102
Bakersfield, CA 93301-2016
Phone (844) 637-8363

Other practice location 1

2701 Chester Ave
Ste 102
Bakersfield, CA 93301-2016
Phone (844) 637-8363

Other identifiers 4

IdentifierTypeStateIssuer
14L8SOtherFLBCBS
003125355AMedicaidGA
005823100MedicaidFL
CA176642OtherPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, LA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120724000583 FL Practitioner - Neurosurgery 8820254568 Reassigns benefits to 1 organization
I20221027000568 LA Practitioner - Neurosurgery 8820254568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Rochester School of Medicine and Dentistry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1415 Tulane Ave
FL 5
New Orleans, LA 70112-2600
Phone (504) 988-5561

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion91
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A99882CAMDNeurological Surgery Physician
332737LAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Nov 1, 2022 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Current Accepting new patients
University of Florida Jacksonville Physicians Inc Neurological Surgery CurrentSince Jul 2, 2012 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Administrators of the Tulane Educational Fund Current Accepting new patients
Administrators of the Tulane Education Fund CurrentSince Nov 1, 2022 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jul 2, 2012 Accepting new patients
La Integrative Nursing Inc PastSince Mar 31, 2024 Accepting new patients
University Healthcare System, L.C. Past Accepting new patients

Locations

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

101 Judge Tanner Blvd
Ste 402
Covington, LA 70433
Phone (985) 892-8959

4224 Houma Blvd
Ste 540
Metairie, LA 70006
Phone (504) 456-1410

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1415 Tulane Ave
Fl 5
New Orleans, LA 70112
Phone (504) 988-1001

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

Interoperability endpoints

  • Direct secure messaging: skeshavarzi650244@direct.ccf.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1972754927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 CHESTER AVE",
            "address_2": "STE 102",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012016",
            "telephone_number": "844-637-8363",
            "fax_number": "844-637-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 TULANE AVE FL 5",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122600",
            "telephone_number": "504-988-5263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 Chester Ave",
            "address_2": "Ste 102",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933012016",
            "country_code": "US",
            "telephone_number": "844-637-8363",
            "fax_number": "844-637-8332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KESHAVARZI",
        "first_name": "SASSAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-08",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A99882",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "LA",
            "license": "332737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14L8S",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003125355A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005823100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "CA176642",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.