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MASOUMEH KHOSRAVIARDAKANI NP
NPI 1467008086
Nurse Practitioner - Acute Care in Detroit, MI

Active since August 11, 2019PECOS EnrolledAccepts Medicare Assignment
4201 SAINT ANTOINE ST STE 8D, DETROIT, MI 48201(313) 745-4275(313) 577-4641 Get Directions Write a Review

NPPES record last updated: August 11, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Masoumeh Khosraviardakani Np NPPES

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

MASOUMEH KHOSRAVIARDAKANI NP (NPI 1467008086) is an individual acute care provider in Detroit, Michigan, licensed in Michigan (4704276401) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Sinai-grace Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1467008086
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMASOUMEH KHOSRAVIARDAKANICredential: NP
Location Address4201 SAINT ANTOINE ST STE 8DDetroit, MI 48201-2153
Mailing Address732 Eagle AveAnn Arbor, MI 48103-8887 · (734) 255-0349
Phone(313) 745-4275
Fax(313) 577-4641
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 11, 2019
✔ NPI 1467008086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MI · 4704276401
4201 SAINT ANTOINE ST STE 8D, Detroit, MI 48201
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Masoumeh Khosraviardakani Np 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 ID6709118649
PECOS Enrollment IDI20191028000502
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

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.
97 services69 patients

Hospital Affiliations CMS Care Compare 3

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

Sinai-Grace Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230024
Location6071 W Outer DriveDetroit, MI 48235 · Wayne County
Emergency services Birthing friendly

Harper University Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230104
Location3990 John R StreetDetroit, MI 48201 · Wayne County
Emergency services Birthing friendly

Detroit Receiving Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230273
Location4201 St Antoine St - 2CDetroit, MI 48201 · Wayne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 3

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

MARYO IBRAHIM
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 8D
DETROIT, MI 48201
Wayne County (313) 577-1245
DR. JACOB RUBE MD
Psychiatry & Neurology (Neurology)
4201 SAINT ANTOINE ST STE 8D
DETROIT, MI 48201
Wayne County (313) 745-4275
MORGAN AGUIRRE DO
Psychiatry & Neurology (Neurology)
4201 SAINT ANTOINE ST STE 8D
DETROIT, MI 48201
Wayne County (313) 745-4275

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 Masoumeh Khosraviardakani's NPI number?

The NPI number for Masoumeh Khosraviardakani is 1467008086. It was assigned to this individual provider in the NPPES registry on August 11, 2019.

Where is Masoumeh Khosraviardakani located?

Masoumeh Khosraviardakani practices at 4201 Saint Antoine St Ste 8D, Detroit, MI 48201. The listed phone number is (313) 745-4275.

What is Masoumeh Khosraviardakani's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Masoumeh Khosraviardakani enrolled in Medicare?

Yes. Masoumeh Khosraviardakani 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 Masoumeh Khosraviardakani accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Masoumeh Khosraviardakani 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 Masoumeh Khosraviardakani affiliated with any hospitals?

According to CMS data, Masoumeh Khosraviardakani is affiliated with Sinai-Grace Hospital, Harper University Hospital and Detroit Receiving Hospital.

When was this NPI record last updated?

The NPPES record for Masoumeh Khosraviardakani was last updated on August 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.