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ROOZBEH NIKOOIE MD
NPI 1497218226
Internal Medicine in Worcester, MA

Active since April 09, 2019PECOS EnrolledAccepts Medicare Assignment
55 LAKE AVE N, WORCESTER, MA 01655(508) 334-1000 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 2, 2024, Apr 9, 2019 (2 updates tracked since 2019).

About Roozbeh Nikooie Md NPPES

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

ROOZBEH NIKOOIE MD (NPI 1497218226) is an individual internal medicine provider in Worcester, Massachusetts, licensed in Massachusetts (1015488) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with University Of Md St Joseph Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1497218226
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameROOZBEH NIKOOIECredential: MD
Location Address55 LAKE AVE NWorcester, MA 01655-0002
Mailing Address55 Lake Ave NWorcester, MA 01655-0002
Phone(508) 334-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 9, 2019
Last NPPES UpdateAugust 20, 20252 updates tracked since enumeration
NPPES CertifiedAugust 20, 2025
✔ NPI 1497218226 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 MA · 1015488
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 ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License D0101808 (MD)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
55 LAKE AVE N, Worcester, MA 01655
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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

Roozbeh Nikooie 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 ID1153656301
PECOS Enrollment IDI20250905001508
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 Roozbeh Nikooie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc
307 mi
Health Maintenance Organization
3400 BOX HILL CORPORATE CENTER DR STE 100&200
Abingdon, MD 21009
NPI 1265971873 (410) 515-5440

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

Hospital Affiliations CMS Care Compare

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

University Of MD St Joseph Medical Center

Acute Care Hospitals · Towson, MD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210063
Location7601 Osler DriveTowson, MD 21204 · Baltimore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01655 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 20

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

HILLARY R. IRONS MD
Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 421-1400
MS. SHERINE MARY HASSEY-HALLIGAN NP
Nurse Practitioner
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-8585
MS. EILEEN A. DUHAMEL NP
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-2710
EWA HRYNISZYN CRNA
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-3271
HELEN COPSEY PA-C
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-8585
DR. ADEPEJU GBADEBO CHAMPION M.D.
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-2731
SOWMYA KORAPATI
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-3550
LAYLA FAKHRZADEH M.D.
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-3271

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 Roozbeh Nikooie's NPI number?

The NPI number for Roozbeh Nikooie is 1497218226. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Where is Roozbeh Nikooie located?

Roozbeh Nikooie practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 334-1000.

What is Roozbeh Nikooie's specialty?

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

Is Roozbeh Nikooie enrolled in Medicare?

Yes. Roozbeh Nikooie 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.

Which organization bills Medicare for Roozbeh Nikooie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roozbeh Nikooie reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Abingdon, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roozbeh Nikooie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Roozbeh Nikooie affiliated with any hospitals?

According to CMS data, Roozbeh Nikooie is affiliated with University Of MD St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Roozbeh Nikooie was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.