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SHERVIN MORTAZAVI M.D
NPI 1740241850
Internal Medicine in Bronx, NY

Active since March 29, 2006PECOS Enrolled
2015 GRAND CONCOURSE, BRONX, NY 10453(718) 299-7295 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shervin Mortazavi M.d NPPES

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

SHERVIN MORTAZAVI M.D (NPI 1740241850) is an individual internal medicine provider in Bronx, New York, licensed in New York (255191) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740241850
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSHERVIN MORTAZAVICredential: M.D
Location Address2015 GRAND CONCOURSEBronx, NY 10453-4303
Mailing Address1434 Williamsbridge Rd Fl 2Bronx, NY 10461-2507 · (718) 618-0401 · Fax (347) 479-1303
Phone(718) 299-7295
Sole ProprietorNo
Enumeration DateMarch 29, 2006
Last NPPES UpdateOctober 26, 2020
NPPES CertifiedOctober 26, 2020
✔ NPI 1740241850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 255191
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.
2015 GRAND CONCOURSE, Bronx, NY 10453
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Other Identifiers 1

Medicaid02549168NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shervin Mortazavi M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10453 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

MANA RAO M.D.
Internal Medicine (Infectious Disease)
2015 GRAND CONCOURSE
BRONX, NY 10453
Bronx County (718) 299-7295
TANDIKA BOATSWAIN NP
Nurse Practitioner (Family)
2015 GRAND CONCOURSE
BRONX, NY 10453
Bronx County (718) 299-7295
DR. KESHAV TEELUCKSINGH MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2015 GRAND CONCOURSE
BRONX, NY 10453
Bronx County (718) 299-7295
LATOYA BETTON NP
Nurse Practitioner (Family)
2015 GRAND CONCOURSE
BRONX, NY 10453
Bronx County (718) 299-7295
CYNTHIA JEAN
Nurse Practitioner (Family)
2015 GRAND CONCOURSE
BRONX, NY 10453
Bronx County (718) 299-7295
MS. RASHANA P THOMPSON NP, RN
Nurse Practitioner (Family)
2015 GRAND CONCOURSE
BRONX, NY 10453
Bronx County (718) 299-7295
PAUL CHEN DO
Family Medicine
2015 GRAND CONCOURSE
BRONX, NY 10453
Bronx County (718) 299-7295
JOY MARIE SHAKELTON WHNP-BC, CRNP
Nurse Practitioner (Women's Health)
2015 GRAND CONCOURSE
BRONX, NY 10453
Bronx County (718) 583-7736

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 Shervin Mortazavi's NPI number?

The NPI number for Shervin Mortazavi is 1740241850. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Shervin Mortazavi located?

Shervin Mortazavi practices at 2015 Grand Concourse, Bronx, NY 10453. The listed phone number is (718) 299-7295.

What is Shervin Mortazavi's specialty?

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

Is Shervin Mortazavi enrolled in Medicare?

Yes. Shervin Mortazavi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shervin Mortazavi was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.