SINA FOROUTANJAZI MD
NPI 1184356123
Dermatology in Marlborough, MA
About Sina Foroutanjazi Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SINA FOROUTANJAZI MD (NPI 1184356123) is an individual dermatology provider in Marlborough, Massachusetts, licensed in Massachusetts (1027343) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and is a graduate of Tufts University School Of Medicine (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sina Foroutanjazi Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Sina Foroutanjazi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Concord, MA 01742
- Reassigned Medicare billing, Massachusetts enrollment
- Medicare enrollment name: Adult & Pediatric Dermatology PC
- 32 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Umass Memorial Medical Center/University Campus
Acute Care Hospitals · Worcester, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01752 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MARLBOROUGH, MA 01752
MARLBOROUGH, MA 01752
MARLBOROUGH, MA 01752
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 Sina Foroutanjazi's NPI number?
The NPI number for Sina Foroutanjazi is 1184356123. It was assigned to this individual provider in the NPPES registry on June 28, 2022.
Where is Sina Foroutanjazi located?
Sina Foroutanjazi practices at 201 Boston Post Rd W Ste 200&202, Marlborough, MA 01752. The listed phone number is (508) 460-9613.
What is Sina Foroutanjazi's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Sina Foroutanjazi enrolled in Medicare?
Yes. Sina Foroutanjazi 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.
Which organization bills Medicare for Sina Foroutanjazi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sina Foroutanjazi reassigns Medicare benefits to Adult & Pediatric Dermatology, P.C. (Concord, 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 Sina Foroutanjazi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Sina Foroutanjazi affiliated with any hospitals?
According to CMS data, Sina Foroutanjazi is affiliated with Umass Memorial Medical Center/University Campus.
When was this NPI record last updated?
The NPPES record for Sina Foroutanjazi was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.
# Sina Foroutanjazi, MD · NPI 1184356123
Dermatology physician in Marlborough, Massachusetts. Individual provider, active in the CMS NPPES registry since June 28, 2022.
## Identity
- **NPI:** 1184356123 (Entity type: Individual)
- **Enumerated:** June 28, 2022
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** 1027343 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 201 BOSTON POST RD W STE 200&202, Marlborough, MA 01752-4667
- **Phone:** (508) 460-9613 · **Fax:** (978) 371-0522
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Adult & Pediatric Dermatology, P.C. (NPI 1285614834, Concord, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Tufts University School Of Medicine, class of 2022
## Record status
- **NPPES last updated:** September 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1184356123) · Data from the CMS NPPES public registry.