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SAMIRA SADAT MORTAZAVI OD
NPI 1992436786
Optometrist in Boston, MA

Active since June 22, 2022PECOS EnrolledAccepts Medicare Assignment
243 CHARLES ST, BOSTON, MA 02114(617) 573-4177 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samira Sadat Mortazavi Od NPPES

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

SAMIRA SADAT MORTAZAVI OD (NPI 1992436786) is an individual optometrist in Boston, Massachusetts, licensed in Massachusetts (5631) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1992436786
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameSAMIRA SADAT MORTAZAVICredential: OD
Location Address243 CHARLES STBoston, MA 02114-3096
Mailing Address243 Charles StBoston, MA 02114-3096 · (617) 573-4177
Phone(617) 573-4177
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 22, 2022
Last NPPES UpdateAugust 8, 2023
NPPES CertifiedAugust 8, 2023
✔ NPI 1992436786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MA · 5631
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
243 CHARLES ST, Boston, MA 02114
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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

Samira Sadat Mortazavi Od 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 ID1456714476
PECOS Enrollment IDI20230823004384
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.

Areas of Expertise CMS Part B claims 7

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
60 services60 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
56 services56 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
50 services45 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
28 services28 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
21 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Massachusetts Eye And Ear Infirmary -

Acute Care Hospitals · Boston, MA
OwnershipVoluntary non-profit - Private
CMS Certification Number220075
Location243 Charles StreetBoston, MA 02114 · Suffolk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
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.

CARLA PETERSEN AU.D., CCC-A
Audiologist
243 CHARLES ST, AUDIOLOGY DEPARTMENT
BOSTON, MA 02114
Suffolk County (617) 573-3266
DR. SULEMAN IMRAN KHAN MD
Ophthalmology
243 CHARLES ST
BOSTON, MA 02114
Suffolk County (617) 573-4443
DR. RYAN CARLSON MD PHD
Student in an Organized Health Care Education/Training Program
243 CHARLES ST
BOSTON, MA 02114
Suffolk County (617) 523-7900
MASSACHUSETTS EYE AND EAR INFIRMARY
Eyewear Supplier
243 CHARLES ST
BOSTON, MA 02114
Suffolk County (617) 573-3182
DANIEL ROBERT LEFEBVRE M.D.
Ophthalmology
243 CHARLES ST, 10TH FLOOR -- OPHTHALMIC PLASTIC SURGERY
BOSTON, MA 02114
Suffolk County (617) 523-7900
ELLIOTT D. KOZIN MD
Otolaryngology
243 CHARLES ST
BOSTON, MA 02114
Suffolk County (617) 573-6545
DR. LUCIA K SOMBERG MD, MPH
Emergency Medicine
243 CHARLES ST
BOSTON, MA 02114
Suffolk County (617) 573-3431
MS. JANET ENGLISH HUETTIG LICSW
Social Worker (Clinical)
243 CHARLES ST
BOSTON, MA 02114
Suffolk County (617) 573-3548

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 Samira Mortazavi's NPI number?

The NPI number for Samira Mortazavi is 1992436786. It was assigned to this individual provider in the NPPES registry on June 22, 2022.

Where is Samira Mortazavi located?

Samira Mortazavi practices at 243 Charles St, Boston, MA 02114. The listed phone number is (617) 573-4177.

What is Samira Mortazavi's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Samira Mortazavi enrolled in Medicare?

Yes. Samira 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.

Is Samira Mortazavi affiliated with any hospitals?

According to CMS data, Samira Mortazavi is affiliated with Massachusetts General Hospital and Massachusetts Eye And Ear Infirmary -.

When was this NPI record last updated?

The NPPES record for Samira Mortazavi was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.