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

Q: 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.

Q: What is Farzad Modaress Moussavi's specialty?

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

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: October 25, 2026.

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

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Farzad Modaress Moussavi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group

2,467 mi

Health Maintenance Organization

4647 ZION AVE
San Diego, CA 92120

Reassigned Medicare billing, California enrollment
13,921 clinicians in this Medicare group

NPI 1225060742 (619) 528-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)