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
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
1568528081 Blas A Reyes Dermatology 8940 N Kendall Dr, #1002 E, Miami, FL 33176 2006-12-29
1104993005 Blas A Reyes Md Pa Dermatology 8940 N Kendall Dr, 1002 E, Miami, FL 33176-2178 2006-11-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1366823775 Tarek S Shaath Dermatology 118 W Orange St, Altamonte Springs, FL 32714-2537 2015-06-11
1013317460 Scott Forrester Lindsey Dermatology 310 S. Macdill Ave., Suite 201, Tampa, FL 33609 2014-09-03
1861813719 Hillcrest Dermatology and Plastic Surgery P.a. Dermatology 733 Highway 466, Lady Lake, FL 32159-6340 2013-12-19
1831400100 Jeremy Alexander Sunseri Dermatology 2101 Jenks Ave, Panama City, FL 32405-4511 2010-07-01
1164742383 The Skin Cancer Surgery Center of Naples, LLC Dermatology 29170 Positano Court, Naples, FL 34110-2851 2010-06-10
1992035695 Macinnis Dermatology Dermatology 27950 Us Highway 27, Leesburg, FL 34748-9050 2010-01-04
1831425420 Dermatology Associates of Bay County Dermatology 2430 Lisenby Ave, Panama City, FL 32405 2009-11-02
1265661680 Jessin Helmrick-blossom Dermatology 7550 Sw 61st Ave Ste 1, Ocala, FL 34476 2009-07-07
1962666966 Johnny Gurgen Dermatology 920 Rolling Acres Rd Unit 203, Lady Lake, FL 32159-5029 2008-07-18
1093983884 Brian G. Fabian Md Pa Dermatology 26800 S Tamiami Trl Ste 310, Bonita Springs, FL 34134-4348 2008-02-14
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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
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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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