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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

FATEMEH MIRZAMOHAMMADI MD,PHD
NPI 1679079115
Plastic Surgery in Kettering, OH

Active since April 03, 2018PECOS EnrolledAccepts Medicare Assignment
3700 SOUTHERN BLVD STE 201, KETTERING, OH 45429(855) 500-2873 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 14, 2026, Aug 8, 2025 (2 updates tracked since 2025).

About Fatemeh Mirzamohammadi Md,phd NPPES

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

FATEMEH MIRZAMOHAMMADI MD,PHD (NPI 1679079115) is an individual plastic surgery provider in Kettering, Ohio, licensed in Massachusetts (1022749) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1679079115
Entity TypeIndividualFemale
Primary Taxonomy208200000X
Provider Legal NameFATEMEH MIRZAMOHAMMADICredential: MD,PHD
Location Address3700 SOUTHERN BLVD STE 201Kettering, OH 45429-1265
Mailing Address3700 Southern Blvd Ste 201Kettering, OH 45429-1265 · (855) 500-2873 · Fax (937) 281-3805
Phone(855) 500-2873
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 3, 2018
Last NPPES UpdateJune 17, 20262 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
✔ NPI 1679079115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in MA · 1022749
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X · License 35.156456 (OH)
3700 SOUTHERN BLVD STE 201, Kettering, OH 45429
Open in Google Maps ↗

Secondary Practice Locations 2

Location 115 Parkman StBoston, MA 02114-3117 · Phone (877) 424-5678
Location 255 Fruit StBoston, MA 02114-2696 · Phone (617) 676-8785

Other Identifiers 1

OtherCDW960678657MA · Bluecross Blueshield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Fatemeh Mirzamohammadi Md,phd 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 ID3476890336
PECOS Enrollment IDI20250910000241
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.

Hospital Affiliations CMS Care Compare

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

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45429 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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 11

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

ERICA LEE ERTEL
Nurse Practitioner (Family)
3700 SOUTHERN BLVD STE 201
KETTERING, OH 45429
Montgomery County (855) 500-2873
DR. MICHAEL STEPHEN GUY M.D.
Obstetrics & Gynecology (Gynecologic Oncology)
3700 SOUTHERN BLVD STE 201
KETTERING, OH 45429
Montgomery County (855) 500-2873
JING LI HUANG
Surgery (Surgical Oncology)
3700 SOUTHERN BLVD STE 201
KETTERING, OH 45429
Montgomery County (855) 500-2873
JACQUELINE L ROETHLISBERGER NP
Nurse Practitioner (Adult Health)
3700 SOUTHERN BLVD STE 201
KETTERING, OH 45429
Montgomery County (855) 500-2873
JULIET E WOLFORD M.D.
Obstetrics & Gynecology (Gynecologic Oncology)
3700 SOUTHERN BLVD STE 201
KETTERING, OH 45429
Montgomery County (855) 500-2873
ROXANE WEIGHALL DO
Surgery (Surgical Oncology)
3700 SOUTHERN BLVD STE 201
KETTERING, OH 45429
Montgomery County (855) 500-2873
MARRYANNE ALLEN APRN-CNP
Nurse Practitioner (Primary Care)
3700 SOUTHERN BLVD STE 201
DAYTON, OH 45429
Montgomery County (855) 500-2873
REBECCA MAE TUTTLE MD
Surgery (Surgical Oncology)
3700 SOUTHERN BLVD STE 201
KETTERING, OH 45429
Montgomery County (855) 500-2873

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 Fatemeh Mirzamohammadi's NPI number?

The NPI number for Fatemeh Mirzamohammadi is 1679079115. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Where is Fatemeh Mirzamohammadi located?

Fatemeh Mirzamohammadi practices at 3700 Southern Blvd Ste 201, Kettering, OH 45429. The listed phone number is (855) 500-2873.

What is Fatemeh Mirzamohammadi's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Fatemeh Mirzamohammadi enrolled in Medicare?

Yes. Fatemeh Mirzamohammadi 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 Fatemeh Mirzamohammadi accept?

Health plans from Anthem Blue Cross and Blue Shield list Fatemeh Mirzamohammadi 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 Fatemeh Mirzamohammadi affiliated with any hospitals?

According to CMS data, Fatemeh Mirzamohammadi is affiliated with Massachusetts General Hospital.

When was this NPI record last updated?

The NPPES record for Fatemeh Mirzamohammadi was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.