JALAL SHARIAT MOHARRERI DO
NPI 1629427430
Family Medicine in Lawton, OK

Q: What is Jalal Moharreri's NPI number?

The NPI number for Jalal Moharreri is 1629427430. It was assigned to this individual provider in the NPPES registry on June 13, 2016.

Q: What is Jalal Moharreri's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jalal Moharreri was last updated on June 5, 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.

Active since June 13, 2016PECOS EnrolledAccepts Medicare Assignment

3401 W GORE BLVD, LAWTON, OK 73505(580) 585-5545 Get Directions Write a Review

NPPES record last updated: June 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2019, Jun 13, 2016 (2 updates tracked since 2016).

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About Jalal Shariat Moharreri Do NPPES

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

JALAL SHARIAT MOHARRERI DO (NPI 1629427430) is an individual family medicine provider in Lawton, Oklahoma, licensed in Oklahoma (6217) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Winter Haven Hospital, and maintains a secondary practice location in Winter Haven.

NPPES Registry Identity

NPI1629427430

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJALAL SHARIAT MOHARRERICredential: DO

Location Address3401 W GORE BLVDLawton, OK 73505-6332

Mailing Address3401 W Gore BlvdLawton, OK 73505-6332 · (580) 585-5548

Phone(580) 585-5545

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateJune 13, 2016

Last NPPES UpdateJune 5, 20192 updates tracked since enumeration

✔ NPI 1629427430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in OK · 6217✔ Licensed in FL · 15896

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3401 W GORE BLVD, Lawton, OK 73505

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Secondary Practice Location 1

Location 1200 Avenue F NEWinter Haven, FL 33881-4131 · Phone (863) 293-1121

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

Jalal Shariat Moharreri Do 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 ID2062748700

PECOS Enrollment IDI20190801002568

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

232 services211 patients

Hospital Affiliations CMS Care Compare

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

Winter Haven Hospital

Acute Care Hospitals · Winter Haven, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100052

Location200 Ave F NEWinter Haven, FL 33881 · Polk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73505 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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.

GABRIEL SCOTT RIVERA

Pharmacist