DR. MOHAMMED MORTAZAVI MD
NPI 1871740241
Pediatrics - Sports Medicine in Tucson, AZ
About Dr. Mohammed Mortazavi Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MOHAMMED MORTAZAVI MD (NPI 1871740241) is an individual sports medicine provider in Tucson, Arizona, licensed in Arizona (49421) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (2008).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Mohammed Mortazavi Md 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.
Medicare Billing Reassignments
5Medicare enrollment records show Mohammed Mortazavi reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tucson, AZ 85712
- Reassigned Medicare billing, Arizona enrollment
- 11 clinicians in this Medicare group
Tucson, AZ 85712
- Reassigned Medicare billing, Arizona enrollment
- 471 clinicians in this Medicare group
Tucson, AZ 85712
- Reassigned Medicare billing, Arizona enrollment
- 196 clinicians in this Medicare group
Tucson, AZ 85704
- Reassigned Medicare billing, Arizona enrollment
- 296 clinicians in this Medicare group
Mesa, AZ 85206
- Reassigned Medicare billing, Arizona enrollment
- Medicare enrollment name: Phoenix Children's Hospital
- 1,416 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TUCSON, AZ 85712
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 Mohammed Mortazavi's NPI number?
The NPI number for Mohammed Mortazavi is 1871740241. It was assigned to this individual provider in the NPPES registry on August 27, 2008.
Where is Mohammed Mortazavi located?
Mohammed Mortazavi practices at 5199 E Farness Dr Ste 101, Tucson, AZ 85712. The listed phone number is (520) 222-8076.
What is Mohammed Mortazavi's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Sports Medicine, with taxonomy code 2080S0010X.
Is Mohammed Mortazavi enrolled in Medicare?
Yes. Mohammed Mortazavi 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.
Which organizations bill Medicare for Mohammed Mortazavi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mohammed Mortazavi reassigns Medicare benefits to 5 organizations: Sparcc Professional Corporation (Tucson, AZ), Tmc Medical Network (Tucson, AZ), Tmcone (Tucson, AZ), Northwest Allied Physicians LLC (Tucson, AZ) and Phoenix Children's Medical Group (Mesa, AZ). 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 Mohammed Mortazavi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mohammed Mortazavi accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc and 1 other insurer list Mohammed Mortazavi 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 Mohammed Mortazavi was last updated on May 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Mohammed Mortazavi, MD · NPI 1871740241
Sports Medicine physician in Tucson, Arizona. Individual provider, active in the CMS NPPES registry since August 27, 2008.
## Identity
- **NPI:** 1871740241 (Entity type: Individual)
- **Enumerated:** August 27, 2008
- **Primary specialty:** Pediatrics - Sports Medicine · taxonomy 2080S0010X
- **State license:** 49421 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 5199 E FARNESS DR STE 101, Tucson, AZ 85712
- **Phone:** (520) 222-8076 · **Fax:** (520) 300-7156
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Sparcc Professional Corporation (NPI 1003275413, Tucson, AZ); Tmc Medical Network (NPI 1750832283, Tucson, AZ); Tmcone (NPI 1467310417, Tucson, AZ); Northwest Allied Physicians LLC (NPI 1003833179, Tucson, AZ); Phoenix Children's Medical Group (NPI 1487814240, Mesa, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Davis School Of Medicine, class of 2008
## Record status
- **NPPES last updated:** May 22, 2020
- **Other identifiers:** Other 1871740241 (AZ); Medicaid 923231 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1871740241) · Data from the CMS NPPES public registry.