MOHAMMAD M MOUSAVIAN DMD
NPI 1174182414
Oral & Maxillofacial Surgery in Boston, MA
NPI Status: Active since June 11, 2019
Contact Information
55 FRUIT ST BLDG SUITE230
BOSTON, MA
ZIP 02114
Phone: (617) 726-2741
- Individual
- Male
- Oral & Maxillofacial Surgery
- PECOS Enrolled
About MOHAMMAD MOUSAVIAN
This page provides the complete NPI Profile along with additional information for Mohammad Mousavian, a provider established in Boston, Massachusetts with a medical specialization in Oral & Maxillofacial Surgery. The healthcare provider is registered in the NPI registry with number 1174182414 assigned on June 2019. The practitioner's primary taxonomy code is 204E00000X with license number DN1858982 (MA). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1174182414
- Provider Name
- MOHAMMAD M MOUSAVIAN DMD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 55 FRUIT ST BLDG SUITE230 BOSTON, MA 02114
- Location Phone
- (617) 726-2741
- Mailing Address
- 55 FRUIT ST BLDG SUITE230 BOSTON, MA 02114
- Mailing Phone
- (617) 726-2741
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-11-2019
- Last Update Date
- 07-01-2021
- Code Navigator
Location Map
Secondary Locations
- 165 Cambridge St Ste 401 MGH Dental Group
Boston, MA 02114
(617) 726-1076
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Oral & Maxillofacial Surgery
- Taxonomy Code
- 204E00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- DN1858982
- License State
- MA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 204E00000X | Allopathic & Osteopathic Physicians | Oral & Maxillofacial Surgery | DL14005 (MA) |
Medicare Participation & PECOS Enrollment Status
Mohammad Mousavian is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1174182414, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174182414, enumerated as an "individual" on June 11, 2019.
The provider is located at 55 FRUIT ST BLDG SUITE230 BOSTON, MA 02114 and the phone number is (617) 726-2741.
Oral & Maxillofacial Surgery with taxonomy code 204E00000X.
