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FARZAD NOUROLLAH-ZADEH
NPI 1306451695
Oral Medicine in Philadelphia, PA

Active since September 13, 2020PECOS EnrolledAccepts Medicare Assignment
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(267) 307-3827 Get Directions Write a Review

NPPES record last updated: September 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Farzad Nourollah-zadeh NPPES

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

FARZAD NOUROLLAH-ZADEH (NPI 1306451695) is an individual oral medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (23-1352685) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1306451695
Entity TypeIndividualMale
Primary Taxonomy125Q00000X
Provider Legal NameFARZAD NOUROLLAH-ZADEH
Location Address3400 CIVIC CENTER BLVDPhiladelphia, PA 19104-5127
Mailing Address105 S 41st StPhiladelphia, PA 19104-3018 · (267) 366-9949
Phone(267) 307-3827
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 13, 2020
NPPES CertifiedSeptember 13, 2020
✔ NPI 1306451695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral MedicineDental Providers
Taxonomy Code125Q00000X
License✔ Licensed in PA · 23-1352685
Definition
Oral Medicine is the specialty of dentistry responsible for the oral health care of medically complex patients and for the diagnosis and management of medically related diseases, disorders and conditions affecting the oral and maxillofacial region. Oral Medicine specialists have training and expertise in the diagnosis and management of oral and mucosal diseases, medical management of maxillofacial pathologies from hematology and oncology, organ transplant services, autoimmune disorders, including acute and chronic pain conditions of oral & maxillofacial region. Oral Medicine specialists co-manage oral and maxillofacial conditions and diseases in collaboration with medical specialists and other dentists in hospitals and outpatient medical clinics, particularly in the management of patients with complex medical conditions requiring multidisciplinary healthcare intervention.
3400 CIVIC CENTER BLVD, Philadelphia, PA 19104
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Other Identifiers 2

Medicaid45862287PA
Medicaid23-1352685PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.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

Farzad Nourollah-zadeh 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 ID1557731635
PECOS Enrollment IDI20230105003241
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
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.
87 services42 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
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.
29 services29 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
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.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

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.

PHILIPPE OLIVIER SZAPARY MD
Internal Medicine (Cardiovascular Disease)
3400 CIVIC CENTER BLVD, EAST PAVILION, 2ND FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 615-4949
UNIVERSITY OF PENNSYLVANIA
Psychiatric Unit
3400 CIVIC CENTER BLVD, 2 SOUTH PAVILION
PHILADELPHIA, PA 19104
Philadelphia County (215) 614-1828
CAREY MCDOUGALL M.S.
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2920
KELSEY ELIZABETH SPIELMAN
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8479
STEVEN S SCHERER MD
Psychiatry & Neurology (Neurology)
3400 CIVIC CENTER BLVD, 2ND FLOOR, SOUTH PAVILION
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3606
KEITH CENGEL MD, PHD
Radiology (Radiation Oncology)
3400 CIVIC CENTER BLVD, CONCOURSE LEVEL
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2428
BRIAN FRIEL MD
Urology
3400 CIVIC CENTER BLVD, UROLOGY, PERELMAN CENTER, 3RD FLOOR, WEST PAVILION
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-5042
RICHARD KRISKA
Pharmacist
3400 CIVIC CENTER BLVD, ROOM 101 WEST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6260

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 Farzad Nourollah-zadeh's NPI number?

The NPI number for Farzad Nourollah-zadeh is 1306451695. It was assigned to this individual provider in the NPPES registry on September 13, 2020.

Where is Farzad Nourollah-zadeh located?

Farzad Nourollah-zadeh practices at 3400 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (267) 307-3827.

What is Farzad Nourollah-zadeh's specialty?

The primary specialty registered for this NPI is Oral Medicine with taxonomy code 125Q00000X.

Is Farzad Nourollah-zadeh enrolled in Medicare?

Yes. Farzad Nourollah-zadeh 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.

What insurance does Farzad Nourollah-zadeh accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list Farzad Nourollah-zadeh 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 Farzad Nourollah-zadeh affiliated with any hospitals?

According to CMS data, Farzad Nourollah-zadeh is affiliated with Musc Medical Center.

When was this NPI record last updated?

The NPPES record for Farzad Nourollah-zadeh was last updated on September 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.