1. Home
  2. Directory
  3. Arizona
  4. Tucson
  5. Pediatrics
  6. NPI Profile

DR. MOHAMMED MORTAZAVI MD
NPI 1871740241
Pediatrics - Sports Medicine in Tucson, AZ

Active since August 27, 2008PECOS EnrolledAccepts Medicare Assignment
5199 E FARNESS DR STE 101, TUCSON, AZ 85712(520) 222-8076(520) 300-7156 Get Directions Write a Review

NPPES record last updated: May 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 22, 2020, Aug 14, 2018, Feb 29, 2016 and 2 more (5 updates tracked since 2016).

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

NPI1871740241
Entity TypeIndividualMale
Primary Taxonomy2080S0010X
Provider Legal NameDR. MOHAMMED MORTAZAVICredential: MD
Location Address5199 E FARNESS DR STE 101Tucson, AZ 85712
Mailing Address5199 E Farness Dr Ste 101Tucson, AZ 85712-2262 · (520) 222-8076 · Fax (520) 300-7156
Phone(520) 222-8076
Fax(520) 300-7156
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2008
Enumeration DateAugust 27, 2008
Last NPPES UpdateMay 22, 20205 updates tracked since enumeration
NPPES CertifiedMay 22, 2020
✔ NPI 1871740241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080S0010X
License✔ Licensed in AZ · 49421
Definition
A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedPhysical Medicine & Rehabilitation · Sports MedicineTaxonomy 2081S0010X · License 49421 (AZ)
5199 E FARNESS DR STE 101, Tucson, AZ 85712
Open in Google Maps ↗

Other Identifiers 2

Other1871740241AZ · Npi
Medicaid923231AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and more.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

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.

PECOS PAC ID8820240203
PECOS Enrollment IDI20140814001227
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.

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.

BRETT DUSENBERRY M.D.
Pediatrics
5199 E FARNESS DR STE 101
TUCSON, AZ 85712
Pima County (520) 222-8076
LESLIE STREETER NP
Nurse Practitioner (Family)
5199 E FARNESS DR STE 101
TUCSON, AZ 85712
Pima County (520) 222-8076
LEILA SAMSAM DNP
Nurse Practitioner (Family)
5199 E FARNESS DR STE 101
TUCSON, AZ 85712
Pima County (520) 222-8076
MONICA CECELIA PITA
Specialist/Technologist (Athletic Trainer)
5199 E FARNESS DR STE 101
TUCSON, AZ 85712
Pima County (520) 222-8076

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.

What insurance does Mohammed Mortazavi accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and UnitedHealthcare 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.