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DR. MOHAMMAD NAMAZIAN D.O.
NPI 1811040843
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Kew Gardens, NY

Active since January 21, 2007PECOS EnrolledAccepts Medicare Assignment
11880 METROPOLITAN AVE APT 5F, KEW GARDENS, NY 11415(718) 847-3635(718) 847-3635 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mohammad Namazian D.o. NPPES

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

DR. MOHAMMAD NAMAZIAN D.O. (NPI 1811040843) is an individual adult reconstructive orthopaedic surgery provider in Kew Gardens, New York, licensed in California (20A9672) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1811040843
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameDR. MOHAMMAD NAMAZIANCredential: D.O.
Location Address11880 METROPOLITAN AVE APT 5FKew Gardens, NY 11415-2063
Mailing Address10950 Church St Apt 2212Rancho Cucamonga, CA 91730-8081 · (909) 244-0550 · Fax (909) 244-0550
Phone(718) 847-3635
Fax(718) 847-3635
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateJanuary 21, 2007
Last NPPES UpdateDecember 1, 2021
NPPES CertifiedDecember 1, 2021
✔ NPI 1811040843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License✔ Licensed in CA · 20A9672
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
11880 METROPOLITAN AVE APT 5F, Kew Gardens, NY 11415
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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

Dr. Mohammad Namazian D.o. 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 ID2668550468
PECOS Enrollment IDI20080418000461
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.

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 Mohammad Namazian's NPI number?

The NPI number for Mohammad Namazian is 1811040843. It was assigned to this individual provider in the NPPES registry on January 21, 2007.

Where is Mohammad Namazian located?

Mohammad Namazian practices at 11880 Metropolitan Ave Apt 5F, Kew Gardens, NY 11415. The listed phone number is (718) 847-3635.

What is Mohammad Namazian's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Mohammad Namazian enrolled in Medicare?

Yes. Mohammad Namazian 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.

When was this NPI record last updated?

The NPPES record for Mohammad Namazian was last updated on December 1, 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.