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MITRA ASSADI-KHANSARI MD NPI 1205917952


NPI Information

NPI: 1205917952
Provider Name: MITRA ASSADI-KHANSARI, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
200 HYGEIA DR
STE 1420
NEWARK, DE
ZIP 19713
Phone: (302) 623-3017
Get Directions

Mitra Assadi-khansari, MD is a neurology psychiatry neurology in Newark, DE with 34 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Mitra Assadi-khansari, MD NPI is 1205917952. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

200 HYGEIA DR
STE 1420
NEWARK, DE
ZIP 19713-049
Phone: (302) 623-3017
Fax: (302) 266-9962

The NPI 1205917952 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Measurement and recording of brain wave (eeg) activity, awake and drowsy (HCPCS:95816)

The enumeration date for this NPI number is 10/18/2006 and was last updated on 1/31/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyC1-0013230DELAWARENo
22084N0400XPsychiatry & NeurologyNeurologyC1-0013230DELAWAREYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10064051000OTHERNEW JERSEYAMERIHEALTH/KEYSTONE/IBC
27712201MEDICAIDNEW JERSEY
31010223OTHERNEW JERSEYHORIZON NJ HEALTH
40342325OTHERNEW JERSEYCIGNA
51883383OTHERNEW JERSEYUNITED HEALTH
6HORIZON NJ HEALTHOTHERNEW JERSEY1169152
718376OTHERNEW JERSEYAMERIHEALTH/PPO PABS
8018376OTHERNEW JERSEYPA BS HIGHMARK
93K5933OTHERNEW JERSEYHEALTHNET
10P2182793OTHERNEW JERSEYOXFORD
1120495OTHERNEW JERSEYUNIVERSITY HEALTH PLAN
12CA0000306OTHERNEW JERSEYAMERICHOICE
133009843OTHERNEW JERSEYAETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.