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FARZAD MODARESS MOUSSAVI MD
NPI 1366749137
Internal Medicine in Bay Shore, NY

Active since February 14, 2011PECOS EnrolledAccepts Medicare Assignment
40 E MAIN ST, BAY SHORE, NY 11706(631) 376-6075(631) 376-6091 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2021, Jul 30, 2018 (2 updates tracked since 2018).

About Farzad Modaress Moussavi Md NPPES

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

FARZAD MODARESS MOUSSAVI MD (NPI 1366749137) is an individual internal medicine provider in Bay Shore, New York, licensed in District Of Columbia (MD041637) and active in the NPI registry since February 2011. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1366749137
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameFARZAD MODARESS MOUSSAVICredential: MD
Location Address40 E MAIN STBay Shore, NY 11706-8301
Mailing Address40 E Main StBay Shore, NY 11706-8301 · (631) 376-6075 · Fax (631) 376-6091
Phone(631) 376-6075
Fax(631) 376-6091
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateFebruary 14, 2011
Last NPPES UpdateDecember 8, 20212 updates tracked since enumeration
✔ NPI 1366749137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in DC · MD041637
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License MD041637 (DC)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
40 E MAIN ST, Bay Shore, NY 11706
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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 Modaress Moussavi 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 ID2264667609
PECOS Enrollment IDI20210722001612
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11706 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Other Providers at the Same Location NPPES 15

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

DR. ROBERT CHOW M.D.
Internal Medicine (Infectious Disease)
40 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 376-6075
ARIF AMIRALI DHARSEE MD
Internal Medicine (Infectious Disease)
40 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 376-6075
MS. SHIVANNAH SAVATRI CHIATAR RPA-C, M.S.
Physician Assistant (Medical)
40 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 647-8765
MICHAEL T GRAY M.D.
Internal Medicine (Infectious Disease)
40 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 376-6075
SOUTH SHORE INFECTIOUS DISEASES , PC
Internal Medicine (Infectious Disease)
40 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 376-6075
DR. MARIYA HURALSKA MD
Internal Medicine (Infectious Disease)
40 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 376-6075
VICTORIA JANE CULLY NP
Nurse Practitioner (Adult Health)
40 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 376-6075
ESTHER LEREBOURS HANSEN DPM
Podiatrist
40 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 665-5200

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 Modaress Moussavi's NPI number?

The NPI number for Farzad Modaress Moussavi is 1366749137. It was assigned to this individual provider in the NPPES registry on February 14, 2011.

Where is Farzad Modaress Moussavi located?

Farzad Modaress Moussavi practices at 40 E Main St, Bay Shore, NY 11706. The listed phone number is (631) 376-6075.

What is Farzad Modaress Moussavi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Farzad Modaress Moussavi enrolled in Medicare?

Yes. Farzad Modaress Moussavi 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.

When was this NPI record last updated?

The NPPES record for Farzad Modaress Moussavi was last updated on December 8, 2021. 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.