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MOHAMMAD M MOUSAVIAN DMD
NPI 1174182414
Oral & Maxillofacial Surgery in Boston, MA

Active since June 11, 2019PECOS Enrolled
55 FRUIT ST BLDG SUITE230, BOSTON, MA 02114(617) 726-2741 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 1, 2021, Jun 11, 2019 (2 updates tracked since 2019).

About Mohammad M Mousavian Dmd NPPES

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

MOHAMMAD M MOUSAVIAN DMD (NPI 1174182414) is an individual oral & maxillofacial surgery provider in Boston, Massachusetts, licensed in Massachusetts (DN1858982) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Boston, and is a graduate of Univ Of Pennsylvania School Of Dental Medicine (2019).

NPPES Registry Identity

NPI1174182414
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameMOHAMMAD M MOUSAVIANCredential: DMD
Location Address55 FRUIT ST BLDG SUITE230Boston, MA 02114-2621
Mailing Address55 Fruit St Bldg Suite230Boston, MA 02114-2621 · (617) 726-2741
Phone(617) 726-2741
Sole ProprietorNo
Medical School CMSUniv Of Pennsylvania School Of Dental MedicineGraduated 2019
Enumeration DateJune 11, 2019
Last NPPES UpdateJuly 1, 20212 updates tracked since enumeration
NPPES CertifiedJuly 1, 2021
✔ NPI 1174182414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Licenses✔ Licensed in MA · DN1858982✔ Licensed in MA · DL14005
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
55 FRUIT ST BLDG SUITE230, Boston, MA 02114
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Secondary Practice Location 1

Location 1165 Cambridge St Ste 401, MGH Dental GroupBoston, MA 02114-2750 · Phone (617) 726-1076

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Combined Life, Humana, Oscar Health Insurance and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mohammad M Mousavian Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779916606
PECOS Enrollment IDI20260825001162
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.

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 Mousavian's NPI number?

The NPI number for Mohammad Mousavian is 1174182414. It was assigned to this individual provider in the NPPES registry on June 11, 2019.

Where is Mohammad Mousavian located?

Mohammad Mousavian practices at 55 Fruit St Bldg Suite230, Boston, MA 02114. The listed phone number is (617) 726-2741.

What is Mohammad Mousavian's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Mohammad Mousavian enrolled in Medicare?

Yes. Mohammad Mousavian is registered in the Medicare PECOS enrollment system.

What insurance does Mohammad Mousavian accept?

Health plans from Florida Combined Life, Humana, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida and Oscar Health Plan of North Carolina, Inc and 3 other insurers list Mohammad Mousavian 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.

When was this NPI record last updated?

The NPPES record for Mohammad Mousavian was last updated on July 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.