KATAYOON BARADARAN EBRAHIMI M.D. NPI 1104282359

NPI Information

  • NPI: 1104282359
  • Provider Name: KATAYOON BARADARAN EBRAHIMI, M.D.
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1717 UNIVERSITY DR S
    FARGO, ND
    ZIP 58103
  • Phone: (701) 461-5100

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NPI Details

Katayoon Baradaran Ebrahimi, M.D. is an ophthalmology in Fargo, ND. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Katayoon Baradaran Ebrahimi, M.D. NPI is 1104282359. 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:

1717 UNIVERSITY DR S
FARGO, ND
ZIP 58103-939
Phone: (701) 461-5100

The NPI 1104282359 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer 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.

  • Imaging of retina (HCPCS:92134)
  • Injection of drug into eye (HCPCS:67028)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Extended exam of the back part of the eye with retinal drawing (HCPCS:92201)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • 2d ultrasound scan of eye tissue and structures (HCPCS:76512)

The enumeration date for this NPI number is 1/4/2016 and was last updated on 6/13/2022.

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
1207W00000XOphthalmology2016-01788NORTH CAROLINANo
2207W00000XOphthalmologyMD463064PENNSYLVANIANo
3207W00000XOphthalmology18004NORTH DAKOTAYes

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: 11/21/2025

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