DR. MOHAMMAD AMIN KHOSHNEVISAN DMD
NPI 1114308855
Dentist - Oral and Maxillofacial Surgery in New York, NY

Active since June 17, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
630 W 168TH ST RM 250, NEW YORK, NY 10032(212) 342-0424(212) 305-9017 Get Directions Write a Review

NPPES record last updated: August 1, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 1, 2022, Jun 19, 2020, Aug 2, 2019 (3 updates tracked since 2019).

About Dr. Mohammad Amin Khoshnevisan Dmd NPPES

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

DR. MOHAMMAD AMIN KHOSHNEVISAN DMD (NPI 1114308855) is an individual oral and maxillofacial surgery provider in New York, New York, licensed in New York (062474) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1114308855
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MOHAMMAD AMIN KHOSHNEVISANCredential: DMD
Location Address630 W 168TH ST RM 250New York, NY 10032-3725
Mailing Address130 Elfreths AlyPhiladelphia, PA 19106-2006
Fax(212) 305-9017
Sole ProprietorYes
Medical School CMSWestern University Of Health Sciences College Of Dental MedGraduated 2015
Enumeration DateJune 17, 2015
Last NPPES UpdateAugust 1, 20223 updates tracked since enumeration
NPPES CertifiedAugust 1, 2022
NPI 1114308855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses Licensed in NY · 062474 Licensed in IL · 018001949
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedDentistTaxonomy 122300000X · License 30.026201 (OH), DS042004 (PA)
630 W 168TH ST RM 250, New York, NY 10032

Secondary Practice Locations 2

Location 11732 S Broad StPhiladelphia, PA 19145-2330 · Phone (301) 801-3998
Location 26218 Glenway AveCincinnati, OH 45211-6314 · Phone (513) 245-8460

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Mohammad Amin Khoshnevisan Dmd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719284496
PECOS Enrollment IDI20230131002348
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

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 Mohammad Amin Khoshnevisan's NPI number?

The NPI number for Mohammad Amin Khoshnevisan is 1114308855. It was assigned to this individual provider in the NPPES registry on June 17, 2015.

Where is Mohammad Amin Khoshnevisan located?

Mohammad Amin Khoshnevisan practices at 630 W 168th St Rm 250, New York, NY 10032. The listed phone number is (212) 342-0424.

What is Mohammad Amin Khoshnevisan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Mohammad Amin Khoshnevisan enrolled in Medicare?

Yes. Mohammad Amin Khoshnevisan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mohammad Amin Khoshnevisan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 5 other insurers list Mohammad Amin Khoshnevisan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mohammad Amin Khoshnevisan affiliated with any hospitals?

According to CMS data, Mohammad Amin Khoshnevisan is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Mohammad Amin Khoshnevisan was last updated on August 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.