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MONA POURRAMAZAN
NPI 1790149128
Internal Medicine in Elma, NY

Active since April 12, 2016PECOS Enrolled

NPPES record last updated: December 7, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 7, 2021, Jul 22, 2020 (2 updates tracked since 2020).

About Mona Pourramazan NPPES

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

MONA POURRAMAZAN (NPI 1790149128) is an individual internal medicine provider in Elma, New York, licensed in New York (300227) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1790149128
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMONA POURRAMAZAN
Location Address2741 ELMAElma, NY 14059-9634
Mailing Address425 Essjay Rd Ste 170Williamsville, NY 14221-8235 · (716) 630-1000
Phone(716) 656-4823
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateApril 12, 2016
Last NPPES UpdateDecember 7, 20212 updates tracked since enumeration
NPPES CertifiedDecember 7, 2021
✔ NPI 1790149128 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 · 300227
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.
2741 ELMA, Elma, NY 14059
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mona Pourramazan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688919939
PECOS Enrollment IDI20191127002033
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 Reassignments

3

Medicare enrollment records show Mona Pourramazan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Buffalo Medical Group, P.C.
11 mi
Family Medicine
325 ESSJAY RD, 4TH FLOOR ADMIN
Williamsville, NY 14221
  • Reassigned Medicare billing, New York enrollment
  • 344 clinicians in this Medicare group
NPI 1881659506 (716) 630-2500
Jamaica Hospital
289 mi
Emergency Medical Services
8900 VAN WYCK EXPWY
Jamaica, NY 11418
  • Reassigned Medicare billing, New York enrollment
  • 738 clinicians in this Medicare group
NPI 1477505220 (718) 206-8918
Adventist Health System Sunbelt, Inc
932 mi
Family Medicine
5851 STATE HIGHWAY 100 E STE B
Palm Coast, FL 32164
  • Reassigned Medicare billing, Florida enrollment
  • 112 clinicians in this Medicare group
NPI 1396637823 (386) 246-8115

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.
36 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Kaleida Health

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330005
Location100 High StreetBuffalo, NY 14210 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14059 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
2 suppliers12 claims12 services$3.23 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each A4373
DME-Orthotic Devices · category DF010N
2 suppliers12 claims130 services$5.69 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
2 suppliers12 claims120 services$4.51 avg. paid by Medicare
Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
2 suppliers12 claims40 services$4.98 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
2 suppliers12 claims240 services$3.17 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$67.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Mona Pourramazan's NPI number?

The NPI number for Mona Pourramazan is 1790149128. It was assigned to this individual provider in the NPPES registry on April 12, 2016.

Where is Mona Pourramazan located?

Mona Pourramazan practices at 2741 Elma, Elma, NY 14059. The listed phone number is (716) 656-4823.

What is Mona Pourramazan's specialty?

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

Is Mona Pourramazan enrolled in Medicare?

Yes. Mona Pourramazan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mona Pourramazan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mona Pourramazan reassigns Medicare benefits to 3 organizations: Buffalo Medical Group, P.C. (Williamsville, NY), Jamaica Hospital (Jamaica, NY) and Adventist Health System Sunbelt, Inc (Palm Coast, FL). Each 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 Mona Pourramazan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mona Pourramazan accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc., Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Mona Pourramazan 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 Mona Pourramazan affiliated with any hospitals?

According to CMS data, Mona Pourramazan is affiliated with Kaleida Health.

When was this NPI record last updated?

The NPPES record for Mona Pourramazan was last updated on December 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.