SAMIRA SADAT MORTAZAVI OD
NPI 1992436786
Optometrist in Boston, MA
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
Specialties & Licenses
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Samira Mortazavi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 478 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.
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.
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, MAMassachusetts Eye And Ear Infirmary -
Acute Care Hospitals · Boston, MAPhysician 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.
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.
BOSTON, MA 02114
BOSTON, MA 02114
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.
Which organization bills Medicare for Samira Mortazavi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samira Mortazavi reassigns Medicare benefits to Massachusetts Eye And Ear Associates, Inc. (Boston, MA). The 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 Samira Mortazavi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samira Mortazavi accept?
Health plans from Anthem Blue Cross and Blue Shield list Samira 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.
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.
# Samira Sadat Mortazavi, OD · NPI 1992436786
Optometrist provider in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since June 22, 2022.
## Identity
- **NPI:** 1992436786 (Entity type: Individual)
- **Enumerated:** June 22, 2022
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 5631 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 243 CHARLES ST, Boston, MA 02114-3096
- **Phone:** (617) 573-4177
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Massachusetts Eye And Ear Associates, Inc. (NPI 1932574332, Boston, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 8, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1992436786) · Data from the CMS NPPES public registry.