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

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: October 18, 2026.

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

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
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

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

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Susan Mokhtari reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
877 JEFFERSON AVE
Memphis, TN 38103
  • Reassigned Medicare billing, Tennessee enrollment
  • 421 clinicians in this Medicare group
Addiction Medicine
8830 CENTRE ST STE 5
Southaven, MS 38671
  • Reassigned Medicare billing, Mississippi enrollment

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.

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
Quality56.46
Improvement Activities40
Cost71.87

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.

Anesthesiology
1910 NONCONNAH BLVD, SUITE 120
MEMPHIS, TN 38132
Internal Medicine
1910 NONCONNAH BLVD, SUITE 120
MEMPHIS, TN 38132
Registered Nurse (Neonatal Intensive Care)
1910 NONCONNAH BLVD, SUITE 120
MEMPHIS, TN 38132
Transplant Surgery
1910 NONCONNAH BLVD, SUITE 120
MEMPHIS, TN 38132
Psychologist
1910 NONCONNAH BLVD, SUITE 120
MEMPHIS, TN 38132
Pediatrics (Pediatric Infectious Diseases)
1910 NONCONNAH BLVD, SUITE 120
MEMPHIS, TN 38132
Dermatology
1910 NONCONNAH BLVD, SUITE 120
MEMPHIS, TN 38132
Dermatology
1910 NONCONNAH BLVD, SUITE 120
MEMPHIS, TN 38132

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 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.

Where is Susan Mokhtari located?

Susan Mokhtari practices at 1910 Nonconnah Blvd Suite 120, Memphis, TN 38132. The listed phone number is (901) 448-2300.

What is Susan Mokhtari's specialty?

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

Is Susan Mokhtari enrolled in Medicare?

Yes. Susan Mokhtari 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 organizations bill Medicare for Susan Mokhtari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Mokhtari reassigns Medicare benefits to 2 organizations: Ut Regional One Physicians Inc (Memphis, TN) and Southland Recovery, PLLC (Southaven, MS). Each 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 Susan Mokhtari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Mokhtari accept?

Health plans from Cigna Healthcare and Oscar Insurance Company list Susan Mokhtari 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 Susan Mokhtari affiliated with any hospitals?

According to CMS data, Susan Mokhtari is affiliated with Regional One Health.

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.