SUSAN MOKHTARI MD
NPI 1225138423
Anesthesiology - Addiction Medicine in Memphis, TN

Q: What is Susan Mokhtari's NPI number?

The NPI number for Susan Mokhtari is 1225138423. It was assigned to this individual provider in the NPPES registry on September 25, 2006. The provider is also known as Susan Bayat-Mokhtari MD.

Q: What is Susan Mokhtari's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Addiction Medicine, with taxonomy code 207LA0401X.

Q: When was this NPI record last updated?

The NPPES record for Susan Mokhtari was last updated on July 15, 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.

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment

75.06/100

CMS Quality Rating

1910 NONCONNAH BLVD, SUITE 120, MEMPHIS, TN 38132(901) 448-2300(901) 448-6657 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 15, 2022, Oct 19, 2021, Sep 29, 2021 (3 updates tracked since 2021).

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About Susan Mokhtari Md NPPES

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

SUSAN MOKHTARI MD (NPI 1225138423) is an individual addiction medicine provider in Memphis, Tennessee, licensed in Mississippi (18474) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Regional One Health, and maintains a secondary practice location in Southaven.

NPPES Registry Identity

NPI1225138423

Entity TypeIndividualFemale

Primary Taxonomy207LA0401X

Provider Legal NameSUSAN MOKHTARICredential: MD

Location Address1910 NONCONNAH BLVD, SUITE 120Memphis, TN 38132-2113

Mailing Address66 N Pauline St, Suite 206Memphis, TN 38105-5105 · (901) 448-1480 · Fax (901) 448-8015

Phone(901) 448-2300

Fax(901) 448-6657

Sole ProprietorNo

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1994

Enumeration DateSeptember 25, 2006

Last NPPES UpdateJuly 15, 20223 updates tracked since enumeration

NPPES CertifiedOctober 19, 2021

✔ NPI 1225138423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LA0401X

License✔ Licensed in MS · 18474

Definition

An anesthesiologist who specializes in the diagnosis and treatment of addictions.

Also ListedAnesthesiologyTaxonomy 207L00000X · License 27884 (TN)

1910 NONCONNAH BLVD, Memphis, TN 38132

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Other Names 1

Former Name (1)Susan Bayat-mokhtari Md

Secondary Practice Location 1

Location 18830 Centre St Ste 5Southaven, MS 38671-2609 · Phone (662) 510-2523 · Fax (662) 510-2527

Other Identifiers 1

Medicaid3836655TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, BlueCross BlueShield of Tennessee, Oscar Insurance Company.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

Susan Mokhtari 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.

PECOS PAC ID3779579479

PECOS Enrollment IDI20040727001422, I20040802001239

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.

Hospital Affiliations CMS Care Compare

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

Regional One Health

Acute Care Hospitals · Memphis, TN

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440152

Location877 Jefferson AvenueMemphis, TN 38103 · Shelby County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38132 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

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.

75.06/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

56.46

Improvement Activities

Cost

71.87

Other Providers at the Same Location NPPES 20

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

DR. JOEL R SLADE MD

Anesthesiology