DR. FARES GEORGES MOUCHANTAF M.D.
NPI 1255476198
Internal Medicine - Pulmonary Disease in Burlington, MA

NPI Status: Active since February 20, 2007

Contact Information

LAHEY HOSPITAL AND MEDICAL CENTER
41 MALL ROAD
BURLINGTON, MA
ZIP 01805
Phone: (781) 744-8480
Fax: (781) 744-3443

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  • Individual
  • Male
  • Years of Experience 22
  • Internal Medicine
  • Pulmonary Disease
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About FARES MOUCHANTAF

This page provides the complete NPI Profile along with additional information for Fares Mouchantaf, an internist established in Burlington, Massachusetts with a medical specialization in Internal Medicine, focusing in pulmonary disease and more than 22 years of experience. He graduated from State University Of New York At Stony Brook, School Of Medicine in 2004. The healthcare provider is registered in the NPI registry with number 1255476198 assigned on February 2007. The practitioner's primary taxonomy code is 207RP1001X with license number 225515 (MA). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1255476198
Provider Name
DR. FARES GEORGES MOUCHANTAF M.D.
Gender
Male
Entity Type
Individual
Location Address
LAHEY HOSPITAL AND MEDICAL CENTER 41 MALL ROAD BURLINGTON, MA 01805
Location Phone
(781) 744-8480
Location Fax
(781) 744-3443
Mailing Address
LAHEY HOSPITAL AND MEDICAL CENTER 41 MALL ROAD BURLINGTON, MA 01805
Mailing Phone
(781) 744-8480
Mailing Fax
(781) 744-3443
Medical School Name
STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduation Year
2004
Is Sole Proprietor?
No
Enumeration Date
02-20-2007
Last Update Date
03-19-2019
Code Navigator

An internist like Fares Mouchantaf is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

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

Internal Medicine Pulmonary Disease

Taxonomy Code
207RP1001X
Type
Allopathic & Osteopathic Physicians
License No.
225515
License State
MA
Taxonomy Description
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

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)
1207RC0200XAllopathic & Osteopathic Physicians

Internal Medicine
Critical Care Medicine

225515 (MA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Preferred Blue PPO 6000/20%/8000 w/HSA - PPO
  • Anthem Bronze Preferred Blue PPO 7000/50%/8000 w/HSA - PPO
  • Anthem Bronze Preferred Blue PPO 7500/30%/10000 Value - PPO
  • Anthem Bronze Preferred Blue PPO 8500/50%/9200 - PPO
  • Anthem Gold Preferred Blue PPO 1000/20%/7500 - PPO
  • Anthem Gold Preferred Blue PPO 2000/0%/6500 RxD - PPO
  • Anthem Gold Preferred Blue PPO 2000/10%/4600 w/HSA - PPO
  • Anthem Gold Preferred Blue PPO 2000/10%/7500 - PPO
  • Anthem Gold Preferred Blue PPO 2000/20%/4600 w/HSA - PPO
  • Anthem Gold Preferred Blue PPO 3000/0%/7500 RxD - PPO
  • Anthem Gold Preferred Blue PPO 500/30%/9000 - PPO
  • Anthem Platinum Preferred Blue PPO 250/10%/3500 - PPO
  • Anthem Silver Preferred Blue PPO 2500/30%/10000 Value - PPO
  • Anthem Silver Preferred Blue PPO 3000/30%/9000 Value - PPO
  • Anthem Silver Preferred Blue PPO 3500/20%/10000 - PPO
  • Anthem Silver Preferred Blue PPO 3500/20%/7250 w/HSA - PPO
  • Anthem Silver Preferred Blue PPO 4000/0%/9000 - PPO
  • Anthem Silver Preferred Blue PPO 4000/0%/9000 RxD - PPO
  • Anthem Silver Preferred Blue PPO 4000/10%/7250 w/HSA - PPO
  • Anthem Silver Preferred Blue PPO 4000/20%/8500 - PPO
  • Anthem Bronze Pathway X Enhanced 6000/35% HSA - HMO
  • Anthem Bronze Pathway X Enhanced 7000/0% ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway X Enhanced 7500/50% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
  • Anthem Catastrophic Pathway X Enhanced - HMO
  • Anthem Gold Pathway X Enhanced 1200/20% ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Gold Pathway X Enhanced 2000/25% ($0 Virtual PCP + $0 Select Drug) Standard - HMO
  • Anthem Gold Pathway X Enhanced 700/40% ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Bronze Pathway X Enhanced 6000/40% ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Silver Pathway X Enhanced 4000/0% ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway X Enhanced 4500/20% HSA - HMO
  • Anthem Silver Pathway X Enhanced 5500/20% ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway X Enhanced 6000/40% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
  • Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Bronze Pathway X HMO 6000/20%/8000 w/HSA - HMO
  • Anthem Bronze Pathway X HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Pathway X HMO 7500/30%/10000 Value - HMO
  • Anthem Bronze Pathway X HMO 8500/50%/9200 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
110075967AMEDICAID (05)MA 

Medicare Participation & PECOS Enrollment Status

Fares Mouchantaf is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Fares Mouchantaf 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), a Home Health Agency (HHA) and Power Mobility Devices.

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

  • PECOS PAC ID: 143320549

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20070714000018

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • 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: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE001N)

    Tubing with integrated heating element for use with positive airway pressure device (HCPCS:A4604)

    6 DME suppliers used 33 Medicare Claims 33 Services Paid

  • DME-Other DME (DE000N)

    Administration set, with small volume nonfiltered pneumatic nebulizer, disposable (HCPCS:A7003)

    3 DME suppliers used 42 Medicare Claims 82 Services Paid

  • DME-Other DME (DE000N)

    Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable (HCPCS:A7005)

    2 DME suppliers used 32 Medicare Claims 32 Services Paid

  • DME-Other DME (DE001N)

    Full face mask used with positive airway pressure device, each (HCPCS:A7030)

    9 DME suppliers used 46 Medicare Claims 46 Services Paid

  • DME-Other DME (DE001N)

    Face mask interface, replacement for full face mask, each (HCPCS:A7031)

    7 DME suppliers used 43 Medicare Claims 110 Services Paid

  • DME-Other DME (DE001N)

    Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap (HCPCS:A7034)

    5 DME suppliers used 17 Medicare Claims 17 Services Paid

  • DME-Other DME (DE001N)

    Headgear used with positive airway pressure device (HCPCS:A7035)

    9 DME suppliers used 35 Medicare Claims 35 Services Paid

  • DME-Other DME (DE001N)

    Tubing used with positive airway pressure device (HCPCS:A7037)

    5 DME suppliers used 24 Medicare Claims 24 Services Paid

  • DME-Other DME (DE001N)

    Filter, disposable, used with positive airway pressure device (HCPCS:A7038)

    7 DME suppliers used 51 Medicare Claims 292 Services Paid

  • DME-Other DME (DE001N)

    Water chamber for humidifier, used with positive airway pressure device, replacement, each (HCPCS:A7046)

    5 DME suppliers used 21 Medicare Claims 21 Services Paid

  • DME-Oxygen and Supplies (DC000N)

    Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)

    4 DME suppliers used 121 Medicare Claims 123 Services Paid

  • DME-Oxygen and Supplies (DC000N)

    Portable oxygen contents, gaseous, 1 month's supply = 1 unit (HCPCS:E0443)

    4 DME suppliers used 21 Medicare Claims 35 Services Paid

  • DME-Other DME (DE005N)

    Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) (HCPCS:E0466)

    2 DME suppliers used 23 Medicare Claims 23 Services Paid

  • DME-Other DME (DE000N)

    High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each (HCPCS:E0483)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

  • DME-Other DME (DE000N)

    Nebulizer, with compressor (HCPCS:E0570)

    1 DME suppliers used 153 Medicare Claims 153 Services Paid

  • DME-Other DME (DE001N)

    Continuous positive airway pressure (cpap) device (HCPCS:E0601)

    5 DME suppliers used 44 Medicare Claims 44 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    9 DME suppliers used 245 Medicare Claims 255 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Portable oxygen concentrator, rental (HCPCS:E1392)

    5 DME suppliers used 52 Medicare Claims 57 Services Paid

  • DME-Oxygen and Supplies (DC000N)

    Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:K0738)

    2 DME suppliers used 15 Medicare Claims 15 Services Paid

  • DME-Other DME (DE000N)

    Pharmacy dispensing fee for inhalation drug(s); per 30 days (HCPCS:Q0513)

    19 DME suppliers used 347 Medicare Claims 347 Services Paid

Drugs Administered Through DME

  • DME-Drugs Administered Through DME (DG006N)

    Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms (HCPCS:J7605)

    5 DME suppliers used 158 Medicare Claims 9030 Services Paid

  • DME-Drugs Administered Through DME (DG006N)

    Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms (HCPCS:J7606)

    1 DME suppliers used 12 Medicare Claims 720 Services Paid

  • DME-Drugs Administered Through DME (DG006N)

    Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg (HCPCS:J7613)

    11 DME suppliers used 56 Medicare Claims 10714 Services Paid

  • DME-Drugs Administered Through DME (DG006N)

    Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme (HCPCS:J7620)

    11 DME suppliers used 100 Medicare Claims 9630 Services Paid

  • DME-Drugs Administered Through DME (DG000N)

    Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg (HCPCS:J7626)

    10 DME suppliers used 211 Medicare Claims 12917 Services Paid

  • DME-Drugs Administered Through DME (DG006N)

    Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram (HCPCS:J7644)

    2 DME suppliers used 13 Medicare Claims 228 Services Paid

  • DME-Drugs Administered Through DME (DG006N)

    Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram (HCPCS:J7677)

    1 DME suppliers used 31 Medicare Claims 162750 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of influenza virus vaccine

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

This service was performed 11 times for 11 patients

Critical care, each additional 30 minutes

Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.

This service was performed 22 times for 13 patients

Critical care, first 30-74 minutes

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

This service was performed 79 times for 41 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 43 times for 38 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 62 times for 58 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 112 times for 82 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 197 times for 157 patients

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 29 times for 24 patients

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 54 times for 46 patients

Extended patient service without direct patient contact, first hour

Extended patient service without direct contact refers to a healthcare service where professionals spend time reviewing your health records, consulting with other providers, or planning your care without you being present, for the first hour.

This service was performed 71 times for 59 patients

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 192 times for 80 patients

Follow-up hospital inpatient care per day, typically 35 minutes

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

This service was performed 65 times for 39 patients

Initial hospital inpatient care per day, typically 50 minutes

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

This service was performed 51 times for 47 patients

Initial hospital inpatient care per day, typically 70 minutes

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

This service was performed 21 times for 21 patients

Irrigation and suction of lung airways to obtain cells using an endoscope

This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.

This service was performed 13 times for 13 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 18 times for 18 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 33 times for 33 patients

New patient office or other outpatient visit, 60-74 minutes

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

This service was performed 13 times for 13 patients

Smoking and tobacco use intensive counseling, 4-10 minutes

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

This service was performed 11 times for 11 patients

Telephone medical discussion with physician, 21-30 minutes

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

This service was performed 67 times for 67 patients

Test to determine lung volumes using gas dilution or washout

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

This service was performed 32 times for 32 patients

Test to determine lung volumes using sensors

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

This service was performed 90 times for 87 patients

Test to examine how well the lungs exchange gases

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

This service was performed 134 times for 131 patients

Test to measure expiratory airflow and volume changes before and after medication administration

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

This service was performed 134 times for 131 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $36.02 for a new patient copayment and $27.79 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 01805 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $144.11
  • Minimum New Patient Price $63.72
  • Maximum New Patient Price $189.86
  • Average New Patient Copayment $36.02
  • Minimum New Patient Copayment $15.93
  • Maximum New Patient Copayment $47.46

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $111.18
  • Minimum Established Patient Price $21.07
  • Maximum Established Patient Price $155.29
  • Average Established Patient Copayment $27.79
  • Minimum Established Patient Copayment $5.26
  • Maximum Established Patient Copayment $38.82

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Fares Mouchantaf is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
NORTHEAST HOSPITAL CORPORATION85 HERRICK STREET
BEVERLY, MA 01915
(978) 922-3000Acute Care Hospitals
LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON41 & 45 MALL ROAD
BURLINGTON, MA 01803
(781) 744-5100Acute Care Hospitals

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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 1255476198, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
4
Doubled → 8
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
8
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 5 → 10 → 1 4 → 8 6 → 12 → 3 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 0 + 5 + 8 + 7 + 1 + 2 + 1 + 1 + 8 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1255476198.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pain Medicine (Pain Medicine)
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Internal Medicine (Gastroenterology)
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Pharmacist (Oncology)
LAHEY HOSPITAL AND MEDICAL CENTER, 41 BURLINGTON MALL RD
BURLINGTON, MA 01805
Obstetrics & Gynecology (Gynecology)
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Nurse Practitioner (Family)
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Colon & Rectal Surgery
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Emergency Medicine
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Nurse Practitioner (Family)
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Surgery (Surgical Critical Care)
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Neurological Surgery
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Nurse Practitioner (Family)
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Social Worker (Clinical)
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Colon & Rectal Surgery
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Surgery
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Nurse Practitioner
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Nurse Practitioner (Psychiatric/Mental Health)
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Nurse Practitioner (Adult Health)
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Nurse Practitioner (Adult Health)
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Urology
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Physician Assistant
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255476198, enumerated as an "individual" on February 20, 2007.

The provider is located at LAHEY HOSPITAL AND MEDICAL CENTER 41 MALL ROAD BURLINGTON, MA 01805 and the phone number is (781) 744-8480.

Internal Medicine with taxonomy code 207RP1001X and a focus in Pulmonary Disease.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Sheld, Anthem Blue. Please consult your insurance carrier or call the provider to verify.

Fares Mouchantaf is affiliated with: NORTHEAST HOSPITAL CORPORATION and LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON.