Ardeshir Khademi-kermanshahi (NPI# 1861585903, PAC ID# 6901870724) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1861585903 |
| PAC ID by PECOS | 6901870724 |
| Professional Enrollment ID | I20040825001358 |
| Full Name | Ardeshir Khademi-kermanshahi |
| Organization Legal Name | COUNTRYSIDE NEUROLOGY INC |
| Address |
1840 Mease Dr Suite 407b Safety Harbor FL 34695-6603 |
| Phone Number | 7277121567 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1990 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 2062488745 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100265 | MORTON PLANT MEASE HEALTHCARE COUNTRYSIDE |
| 100043 | MEASE DUNEDIN HOSPITAL |
| 100127 | MORTON PLANT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1840 Mease Dr, Suite 407b, Safety Harbor, FL 34695-6603 | 7277121567 | COUNTRYSIDE NEUROLOGY INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 81% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 53% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 98% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 92% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 5% | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 35% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 1% | |
| MIPS_EC_047_overall | Care Plan | 0% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 22% |
| Organization Legal Name | COUNTRYSIDE NEUROLOGY INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela C Hammett | Physician Assistant | Countryside Neurology Inc | 1840 Mease Dr, Suite 407b, Safety Harbor, FL 34695-6603 |
| Street Address |
1840 MEASE DR SUITE 407B |
| City | SAFETY HARBOR |
| State | FL |
| Zip | 34695-6603 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vakesh Rajani | Internal Medicine | Rajani Medical Group LLC | 1840 Mease Dr, 401b, Safety Harbor, FL 34695-6606 |
| Dan M Sodano | Cardiovascular Disease (cardiology) | Morton Plant Mease Diagnostic Cardiology LLC | 1840 Mease Dr, Suite 200, Safety Harbor, FL 34695-6604 |
| Atta U Butt | Internal Medicine | Atta U Butt Pa | 1840 Mease Dr, Suite 402, Safety Harbor, FL 34695-6606 |
| Mark J Hepp | Cardiovascular Disease (cardiology) | Clearwater Cardiovascular and Interventional Consultants Md Pa | 1840 Mease Dr, Suite 202, Safety Harbor, FL 34695-6604 |
| James M Zachary | Urology | Advanced Urology Institute, LLC | 1840 Mease Dr, Suite 300, Safety Harbor, FL 34695-6605 |
| Richard Sola | Interventional Cardiology | Clearwater Cardiovascular and Interventional Consultants Md Pa | 1840 Mease Dr, Suite 202, Safety Harbor, FL 34695-6604 |
| Paulas Madhusudan Vyas | Urology | Advanced Urology Institute, LLC | 1840 Mease Dr, Suite 300, Safety Harbor, FL 34695-6605 |
| Heather Anne Ramous | Nurse Practitioner | Respiratory Specialists Pl | 1840 Mease Dr, Suite 307, Safety Harbor, FL 34695-6605 |
| Jessica M Hood | Physician Assistant | Rajani Medical Group LLC | 1840 Mease Dr, 401b, Safety Harbor, FL 34695-6606 |
| James D Gallagher | Obstetrics/gynecology | Florida Woman Care LLC | 1840 Mease Dr, Suite 400, Safety Harbor, FL 34695-6606 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly A Wagner-rohrs | Clinical Social Worker | Cotler Healthcare and Development Inc | 1410 Dr Ml King Jr St N, Safety Harbor, FL 34695-3303 |
| Dianne A. Young | Clinical Social Worker | 935 Main St, C1, Safety Harbor, FL 34695-3400 | |
| Jazmin Abreu | Clinical Psychologist | Emergent Care Psychologists Pa | 132 10 Ave N, Suite 103, Safety Harbor, FL 34695-3407 |
| Esther L Klein | Clinical Social Worker | 132 10th Ave N, Suite 103, Safety Harbor, FL 34695-3407 | |
| Michael S Greenberg | Clinical Psychologist | Emergent Care Psychologists Pa | 132 10 Ave N, Suite 103, Safety Harbor, FL 34695-3407 |
| Sara Kate Zachary Thompson | Clinical Psychologist | Emergent Care Psychologists Pa | 132 10 Ave N, Suite 103, Safety Harbor, FL 34695-3407 |
| Owen Linder | Internal Medicine | 960 Main St, Safety Harbor, FL 34695-3454 | |
| Barbara J. Lubben | Chiropractic | 945 Main St, Safety Harbor, FL 34695-3455 | |
| Jacqueline M Currier | Clinical Social Worker | 935 Main St, Suite B2, Safety Harbor, FL 34695-3471 | |
| Millie A Williams | Clinical Social Worker | Family Psychology Associates Inc | 801 2nd St N, Suite 7, Safety Harbor, FL 34695-3562 |
| Find all physicians in zip 34695 | |||
| City | SAFETY HARBOR |
| Zip Code | 34695 |
| Specialty | NEUROLOGY |
| City + Specialty | SAFETY HARBOR + NEUROLOGY |
Please comment or provide details below to improve the information on Ardeshir Khademi-kermanshahi.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.