MOSTAFA NOURY M.D.
NPI 1033379391
Surgery - Plastic and Reconstructive Surgery in Northborough, MA

Active since June 11, 2008PECOS Enrolled
25 W MAIN ST, NORTHBOROUGH, MA 01532(508) 340-0070(617) 488-2214 Get Directions Write a Review

NPPES record last updated: June 10, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mostafa Noury M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOSTAFA NOURY M.D. (NPI 1033379391) is an individual plastic and reconstructive surgery provider in Northborough, Massachusetts, licensed in Massachusetts (257625) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033379391
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameMOSTAFA NOURYCredential: M.D.
Location Address25 W MAIN STNorthborough, MA 01532-1909
Mailing Address25 W Main StNorthborough, MA 01532-1909 · (508) 340-0070 · Fax (617) 488-2214
Fax(617) 488-2214
Sole ProprietorNo
Enumeration DateJune 11, 2008
Last NPPES UpdateJune 10, 2015
✔ NPI 1033379391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in MA · 257625
Definition
A surgeon who specializes in plastic and reconstructive surgery.
25 W MAIN ST, Northborough, MA 01532

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mostafa Noury M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mostafa Noury reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Plastic Surgery
10 ROSEBERRY DR
Boylston, MA 01505
  • Reassigned Medicare billing, Massachusetts enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
25 W MAIN ST
NORTHBOROUGH, MA 01532
Nurse Practitioner (Family)
25 W MAIN ST
NORTHBOROUGH, MA 01532

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mostafa Noury's NPI number?

The NPI number for Mostafa Noury is 1033379391. It was assigned to this individual provider in the NPPES registry on June 11, 2008.

Where is Mostafa Noury located?

Mostafa Noury practices at 25 W Main St, Northborough, MA 01532. The listed phone number is (508) 340-0070.

What is Mostafa Noury's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Mostafa Noury enrolled in Medicare?

Yes. Mostafa Noury is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mostafa Noury's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mostafa Noury reassigns Medicare benefits to Greater Boston Plastic Surgery & Luxe Aesthetics (Boylston, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mostafa Noury's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mostafa Noury was last updated on June 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.