DR. SEYED MORTEZA MAHMOUDI MD
NPI 1295120202
Pain Medicine - Pain Medicine in Brooklyn, NY

NPI Status: Active since April 06, 2015

Contact Information

381 ROCKAWAY AVE
BROOKLYN, NY
ZIP 11212
Phone: (917) 297-8603
Fax: (701) 780-4477

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Pain Medicine
Pain Medicine
Accepts Insurance
PECOS Enrolled

About SEYED MORTEZA MAHMOUDI

This page provides the complete NPI Profile along with additional information for Seyed Morteza Mahmoudi, a provider established in Brooklyn, New York with a medical specialization in Pain Medicine. The healthcare provider is registered in the NPI registry with number 1295120202 assigned on April 2015. The practitioner's primary taxonomy code is 208VP0000X with license number 316384 (NY). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI: 1295120202
Provider Name: DR. SEYED MORTEZA MAHMOUDI MD
Gender: Male
Entity Type: Individual
Location Address: 381 ROCKAWAY AVE BROOKLYN, NY 11212
Location Phone: (917) 297-8603
Location Fax: (701) 780-4477
Mailing Address: 381 ROCKAWAY AVE BROOKLYN, NY 11212
Mailing Phone: (917) 297-8603
Mailing Fax: (701) 780-4477
Is Sole Proprietor?: No
Enumeration Date: 04-06-2015
Last Update Date: 07-18-2023
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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: Pain Medicine Pain Medicine
Taxonomy Code: 208VP0000X
Type: Allopathic & Osteopathic Physicians
License No.: 316384
License State: NY
Taxonomy Description: Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.

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	208000000X	Allopathic & Osteopathic Physicians	Pediatrics	25M10908100 (NJ)
2	208000000X	Allopathic & Osteopathic Physicians	Pediatrics	PT15121 (ND)
3	208000000X	Allopathic & Osteopathic Physicians	Pediatrics	316384 (NY)

Insurance Plans Accepted

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

Blue Cross Blue Shield of North Dakota

BlueCare Gold $25 PCP Copay ($5 Value Based Drug List) - PPO
BlueCare Silver $45 PCP Copay ($5 Value Based Drug List) - PPO
BlueDirect Bronze 100 HSA Eligible ($7500 Deductible / $5 Preventive Drug List) - PPO
BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) - PPO
BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) - PPO
BlueEssential Catastrophic 100 $9200 Deductible - PPO
BlueValue Bronze $50 PCP Copay (Standardized plan) - PPO
BlueValue Gold $30 PCP Copay (Standardized plan) - PPO
BlueValue Silver $40 PCP Copay (Standardized plan) - PPO
DakotaBlue Altru Gold ($5 Value Based Drug List) - PPO
DakotaBlue Altru Silver ($5 Value Based Drug List) - PPO
DakotaBlue Trinity Gold ($5 Value Based Drug List) - PPO
DakotaBlue Trinity Silver ($5 Value Based Drug List) - PPO

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

Medicare Participation & PECOS Enrollment Status

Seyed Morteza Mahmoudi 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
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

Physician Visit Costs

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 11212 ZIP code area.

New Patients Visit Costs *

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

Average New Patient Price $154.28
Minimum New Patient Price $67.4
Maximum New Patient Price $203.53

Average New Patient Copayment $38.57
Minimum New Patient Copayment $16.85
Maximum New Patient Copayment $50.88

Established Patients Visit Costs *

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

Average Established Patient Price $117.62
Minimum Established Patient Price $21.66
Maximum Established Patient Price $164.45

Average Established Patient Copayment $29.4
Minimum Established Patient Copayment $5.41
Maximum Established Patient Copayment $41.11

* 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.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	9	5	1	2	0	2	0	2
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	18	5	2	2	0	2	0
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 8 + 5 + 2 + 2 + 0 + 2 + 0 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 2									2

The NPI number 1295120202 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.