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DR. MICHAEL MOHAMMAD REZAIAN M.D.
NPI 1598821449
Internal Medicine - Rheumatology in Martinsburg, WV

Active since December 28, 2006PECOS EnrolledAccepts Medicare Assignment
26.18/100
CMS Quality Rating
2010 DOCTOR OATES DR, SUITE 104, MARTINSBURG, WV 25401(304) 262-0085(304) 262-0356 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Michael Mohammad Rezaian M.d. NPPES

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

DR. MICHAEL MOHAMMAD REZAIAN M.D. (NPI 1598821449) is an individual rheumatology provider in Martinsburg, West Virginia, licensed in West Virginia (16112) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1598821449
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. MICHAEL MOHAMMAD REZAIANCredential: M.D.
Location Address2010 DOCTOR OATES DR, SUITE 104Martinsburg, WV 25401-8896
Mailing AddressPo Box 1236Sterling, VA 20167-8415 · (304) 262-0085 · Fax (304) 262-0356
Phone(304) 262-0085
Fax(304) 262-0356
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateDecember 28, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1598821449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in WV · 16112
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License 16112 (WV)
2010 DOCTOR OATES DR, Martinsburg, WV 25401
Open in Google Maps ↗

Other Identifiers 2

Medicaid0081978000WV
Other466846VA · Anthem Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.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

Dr. Michael Mohammad Rezaian M.d. 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 ID143236067
PECOS Enrollment IDI20090813000009
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 7

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.
730 services364 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
503 services285 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
93 services50 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
45 services14 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
40 services40 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
26 services20 patients

Hospital Affiliations CMS Care Compare 5

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490005
Location1840 Amherst StWinchester, VA 22601 · Winchester City County
Emergency services Birthing friendly

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510008
Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County
Emergency services Birthing friendly

Valley Health War Memorial Hospital

Critical Access Hospitals · Berkeley Springs, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511309
Location1 Healthy WayBerkeley Springs, WV 25411 · Morgan County
Emergency services

Hampshire Memorial Hospital

Critical Access Hospitals · Romney, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511311
Location363 Sunrise BoulevardRomney, WV 26757 · Hampshire County
Emergency services

Jefferson Medical Center

Critical Access Hospitals · Ranson, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511319
Location300 South Preston StreetRanson, WV 25438 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25401 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

26.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost87.29

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.

GASTROENTEROLOGY ASSOCIATES OF THE SHENANDOAH VALLEY, INC
Specialist
2010 DOCTOR OATES DR, SUITE 103
MARTINSBURG, WV 25401
Berkeley County (304) 263-8200
MR. JAMES EDWARD BROWN MD
Obstetrics & Gynecology
2010 DOCTOR OATES DR, STE 106
MARTINSBURG, WV 25401
Berkeley County (304) 264-8603
RURAL OUTREACH ARTHRITIS CENTER
Internal Medicine (Rheumatology)
2010 DOCTOR OATES DR, 104
MARTINSBURG, WV 25401
Berkeley County (304) 262-0085

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 Michael Rezaian's NPI number?

The NPI number for Michael Rezaian is 1598821449. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Michael Rezaian located?

Michael Rezaian practices at 2010 Doctor Oates Dr Suite 104, Martinsburg, WV 25401. The listed phone number is (304) 262-0085.

What is Michael Rezaian's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Michael Rezaian enrolled in Medicare?

Yes. Michael Rezaian 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 Michael Rezaian accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Michael Rezaian 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 Michael Rezaian affiliated with any hospitals?

According to CMS data, Michael Rezaian is affiliated with Winchester Medical Center, Berkeley Medical Center, Valley Health War Memorial Hospital, Hampshire Memorial Hospital and Jefferson Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Rezaian was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.