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DR. MANELI DOROUDIAN TEHRANI MD
NPI 1639751159
Internal Medicine in Boston, MA

Active since April 23, 2021PECOS Enrolled
330 BROOKLINE AVE, BOSTON, MA 02215(617) 667-3753 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 8, 2026, Apr 23, 2021 (2 updates tracked since 2021).

About Dr. Maneli Doroudian Tehrani Md NPPES

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

DR. MANELI DOROUDIAN TEHRANI MD (NPI 1639751159) is an individual internal medicine provider in Boston, Massachusetts, licensed in Massachusetts (1025840) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1639751159
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. MANELI DOROUDIAN TEHRANICredential: MD
Location Address330 BROOKLINE AVEBoston, MA 02215-5491
Mailing Address101 S Huntington Ave Unit 1610Jamaica Plain, MA 02130-4785 · (413) 800-9973
Phone(617) 667-3753
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 23, 2021
Last NPPES UpdateMay 8, 20262 updates tracked since enumeration
NPPES CertifiedMay 8, 2026
✔ NPI 1639751159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 1025840
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.
330 BROOKLINE AVE, Boston, MA 02215
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Maneli Doroudian Tehrani Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850856477
PECOS Enrollment IDI20260723002483
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 Maneli Doroudian Tehrani reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc
Same address
Internal Medicine
330 BROOKLINE AVE
Boston, MA 02215
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,579 clinicians in this Medicare group
NPI 1194765438 (617) 754-9600

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 02215 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

BETH ISRAEL DEACONESS MEDICAL CENTER
Chronic Disease Hospital (Children)
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 677-4042
DR. BRIAN DANIEL HOBBS MD, MMSC
Internal Medicine
330 BROOKLINE AVE, PULMONARY AND CRITICAL CARE DEPARTMENT
BOSTON, MA 02215
Suffolk County (617) 667-5864
ERICA DOMMASCH MD
Dermatology
330 BROOKLINE AVE, SHAPIRO 2
BOSTON, MA 02215
Suffolk County (617) 667-3753
VAHID KIARAD M.D
Anesthesiology
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 667-7000
DR. MICHAEL R GOLDSTEIN PHD
Psychologist (Clinical)
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 356-7246
SARA MURDOCK CAHILL MD
Hospitalist
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 667-7000
DR. DEVON ABT HARRIS MD
Obstetrics & Gynecology (Gynecologic Oncology)
330 BROOKLINE AVE, KIRSTEIN 3
BOSTON, MA 02215
Suffolk County (617) 667-3736
DR. ELIZABETH MAIER BALOUGH MD, PHD
Student in an Organized Health Care Education/Training Program
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 667-7000

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 Maneli Doroudian Tehrani's NPI number?

The NPI number for Maneli Doroudian Tehrani is 1639751159. It was assigned to this individual provider in the NPPES registry on April 23, 2021.

Where is Maneli Doroudian Tehrani located?

Maneli Doroudian Tehrani practices at 330 Brookline Ave, Boston, MA 02215. The listed phone number is (617) 667-3753.

What is Maneli Doroudian Tehrani's specialty?

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

Is Maneli Doroudian Tehrani enrolled in Medicare?

Yes. Maneli Doroudian Tehrani is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Maneli Doroudian Tehrani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maneli Doroudian Tehrani reassigns Medicare benefits to Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (Boston, MA). 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 Maneli Doroudian Tehrani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maneli Doroudian Tehrani accept?

Health plans from Taro Health list Maneli Doroudian Tehrani 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.

When was this NPI record last updated?

The NPPES record for Maneli Doroudian Tehrani was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.