Dr. Keyvan Nouri
Dermatology (MOHS-Micrographic Surgery)

Address: 1475 Nw 12 Ave, Box 016960, Miami, FL 33101
Phone: 3052438693

Dr. Keyvan Nouri (NPI# 1083644421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1083644421
Entity Type Individual
Full Name Dr. Keyvan Nouri
Credential MD
Gender Male
Practice Address 1475 Nw 12 Ave
Box 016960
Miami
FL 33101
Practice Telephone 3052438693
Practice Fax Number 3052438470
Mailing Address 1475 Nw 12 Ave
Box 016960
Miami
FL 33101
Mailing Telephone 3052438693
Mailing Fax Number 3052438470
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-07-03
Last Update Date 2013-01-31

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207ND0101X Dermatology · MOHS-Micrographic Surgery Allopathic & Osteopathic Physicians ME71012 FL

Other Provider Identifier

State Identifier Issuer Type Code
FL 2553449-00 MEDICAID

Providers with the same name

NPI Name Taxonomy Address Enumeration
1184664997 Keyvan Nouri Radiology 2125 Oak Grove Rd, Suite 200, Walnut Creek, CA 94598-2536 2006-06-08

Physician Overview

NPI 1083644421
PAC ID by PECOS 0244422665
Professional Enrollment ID I20101004001220
Full Name Keyvan Nouri
Organization Legal Name UNIVERSITY OF MIAMI DERMATOLOGY AND CUTANEOUS SURGERY
Phone Number 3052436704
Gender M
Medical School BOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1993
Primary Specialty DERMATOLOGY
Group Practice PAC ID 9739087156
Number of Group Practice Members 22
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100079 UNIVERSITY OF MIAMI HOSPITAL & CLINICS-SYLVESTER COMPREHENSIVE C

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
PQRS_EP_130_1 Documentation of Current Medications in the Medical Record 99%
PQRS_EP_131_1 Pain Assessment and Follow-Up 81%
PQRS_EP_226_1 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 97%
PQRS_EP_39_1 Screening or Therapy for Osteoporosis for Women Aged 65 Years and Older 27%
PQRS_EP_47_1 Advance Care Plan 21%

Taxonomy Information

Taxonomy Code 207ND0101X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization MOHS-Micrographic Surgery

Taxonomy Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942855150 International Dermatology Research, Inc. Dermatology 8370 W Flagler St Ste 200, Miami, FL 33144-2038 2019-08-05
1861734584 Alyx Cali Rosen Dermatology 1600 Nw 10th Ave Rm 2023, Miami, FL 33136 2013-03-20
1003010216 Anthony T Hasan Dermatology 8501 Sw 124th Ave Ste 112, Miami, FL 33183-4631 2007-06-12
1740556364 Jennifer C Tang Dermatology 1475 Nw 12th Ave Fl 2, Miami, FL 33136-1002 2012-03-28
1679712269 Leavitt Medical Associates of Florida Inc Dermatology 8501 Sw 124th Ave, Suite 112, Miami, FL 33183-4627 2009-02-05
1134371669 Leavitt Medical Associates of Florida Inc Dermatology 8370 W Flagler St, Suite 200, Miami, FL 33144-2094 2008-10-15
1730339078 Leavitt Medical Associates of Florida Inc Dermatology 11760 Bird Rd, #452, Miami, FL 33175-3582 2008-09-23
1023276516 Leavitt Medical Associates of Florida Inc Dermatology 3661 S Miami Ave, Suite 702, Miami, FL 33133-4236 2008-05-30
1437317930 Leavitt Medical Associates of Florida Inc Dermatology 9000 Sw 87th Ct, Suite 202, Miami, FL 33176-2231 2008-05-30
1568528081 Blas A Reyes Dermatology 8940 N Kendall Dr, #1002 E, Miami, FL 33176 2006-12-29
Find all providers in MIAMI

Office Location

Street Address 1475 NW 12 AVE
BOX 016960
City MIAMI
State FL
Zip Code 33101

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063476653 Lawrence A Schachner Dermatology 1475 Nw 12 Ave, Miami, FL 33101-6960 2006-04-12
1659396448 Steven Vanni Neurological Surgery 1475 Nw 12 Ave, Miami, FL 33136 2006-07-13
1518991314 Robert S Kirsner Dermatology 1475 Nw 12 Ave, Box 016960 (m851), Miami, FL 33101-6960 2006-07-10
1275561573 George W Elgart Dermatology 1475 Nw 12 Ave, Box 016960 (m851), Miami, FL 33101-6960 2006-06-28
1063476315 Ysabel M Bello Dermatology 1475 Nw 12 Ave, Box 016960 (m851), Miami, FL 33101-6960 2006-04-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750888988 Manuel Fernondo Antun Fernandez Student in an Organized Health Care Education/Training Program 1611 Nw 12th Avenue Et 2169, Miami, FL 33101 2018-04-13
1346463056 University of Miami Psychologist 1601 Nw 12th Ave., Miami, FL 33101 2007-04-11
1538170147 Carla Roscio Cordova Anesthesiology 1611 Nw 12th Ave, C302, University of Miami, Department of Anesthesiology, Miami, FL 33101 2006-08-10
1588671341 Angela Fisher Audiologist 1666 Nw 10 Ave, Miami, FL 33101 2006-08-02
1689110785 Jennifer Warne Optometrist 500 Nw 2nd Ave Unit 10214, Miami, FL 33101-0119 2017-01-12
1922022011 Rabah E Laoun Obstetrics & Gynecology 1611 Nw 12th, Miami, FL 33101-6960 2006-07-26
1740213958 Adrien A Eshraghi Otolaryngology 1666 Nw 10 Ave, Box (m851), Miami, FL 33101-6960 2006-07-09
1922058452 University of Miami Internal Medicine 1029 Nw 15th Ave, Box 016960 M851, Miami, FL 33101-6960 2006-05-12
1790740058 Stephen N Symes Internal Medicine 1611 12th Ave, Box 016960 M851, Miami, FL 33101-6960 2006-04-19
1922062306 Julia L Belkowitz Pediatrics 1601 Nw 12 Ave, Miami, FL 33101-6960 2006-04-13
Find all providers in zip 33101

Competitor

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City MIAMI
Zip Code 33101

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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