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DR. MAHTA MORTEZAVI MD
NPI 1093013781
Internal Medicine - Allergy & Immunology in Rochester, NY

Active since March 04, 2011PECOS Enrolled
77.5/100
CMS Quality Rating
222 ALEXANDER ST STE 3000, ROCHESTER, NY 14607(585) 922-8350 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Aug 16, 2017, Aug 12, 2016 (3 updates tracked since 2016).

About Dr. Mahta Mortezavi Md NPPES

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

DR. MAHTA MORTEZAVI MD (NPI 1093013781) is an individual allergy & immunology provider in Rochester, New York, licensed in New York (282225) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093013781
Entity TypeIndividualFemale
Primary Taxonomy207RA0201X
Provider Legal NameDR. MAHTA MORTEZAVICredential: MD
Location Address222 ALEXANDER ST STE 3000Rochester, NY 14607-4047
Mailing Address222 Alexander St, Ste 3000Rochester, NY 14607-4047 · (585) 922-8350
Phone(585) 922-8350
Sole ProprietorNo
Enumeration DateMarch 4, 2011
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1093013781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Allergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0201X
License✔ Licensed in NY · 282225
Definition
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X · License 282225 (NY)
222 ALEXANDER ST STE 3000, Rochester, NY 14607
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mahta Mortezavi Md 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 Reassignments

2

Medicare enrollment records show Mahta Mortezavi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rochester General Hospital
Same address
Internal Medicine
222 ALEXANDER ST
Rochester, NY 14607
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
NPI 1760557656 (585) 922-3150
University Of Pittsburgh Physicians
166 mi
Urgent Care
464 ALLEGHENY BLVD, PENNWOOD CENTER
Franklin, PA 16323
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1619381456 (814) 432-9801

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14607 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Other Providers at the Same Location NPPES 9

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

ALEXIS BARBUT
Internal Medicine (Rheumatology)
222 ALEXANDER ST STE 3000
ROCHESTER, NY 14607
Monroe County (585) 922-8350
KRISTIN M YAMAMOTO PA
Physician Assistant
222 ALEXANDER ST STE 3000
ROCHESTER, NY 14607
Monroe County (585) 922-8350
SARA LYNNE KELLER PA
Physician Assistant (Medical)
222 ALEXANDER ST STE 3000
ROCHESTER, NY 14607
Monroe County (585) 922-8350
ANNE MARIE HOLLY PA
Physician Assistant
222 ALEXANDER ST STE 3000
ROCHESTER, NY 14607
Monroe County (585) 922-8350
SHARON BOLAJI-THOMAS
Nurse Practitioner (Family)
222 ALEXANDER ST STE 3000
ROCHESTER, NY 14607
Monroe County No phone listed
DENISE SANCHEZ TEJERA M.D.
Internal Medicine (Allergy & Immunology)
222 ALEXANDER ST STE 3000
ROCHESTER, NY 14607
Monroe County (585) 922-8350
BERNADETTE PALERMO RPA-C
Physician Assistant
222 ALEXANDER ST STE 3000
ROCHESTER, NY 14607
Monroe County (585) 922-8350
SARA K WILLISTEIN PA-C
Physician Assistant (Medical)
222 ALEXANDER ST STE 3000
ROCHESTER, NY 14607
Monroe County (585) 922-8350

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 Mahta Mortezavi's NPI number?

The NPI number for Mahta Mortezavi is 1093013781. It was assigned to this individual provider in the NPPES registry on March 4, 2011.

Where is Mahta Mortezavi located?

Mahta Mortezavi practices at 222 Alexander St Ste 3000, Rochester, NY 14607. The listed phone number is (585) 922-8350.

What is Mahta Mortezavi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Allergy & Immunology, with taxonomy code 207RA0201X.

Is Mahta Mortezavi enrolled in Medicare?

Yes. Mahta Mortezavi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mahta Mortezavi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mahta Mortezavi reassigns Medicare benefits to 2 organizations: Rochester General Hospital (Rochester, NY) and University Of Pittsburgh Physicians (Franklin, PA). Each 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 Mahta Mortezavi'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 Mahta Mortezavi was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.