Individual provider Active NPI

Mahvash Mozafarian

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1053870816
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.45820 Issued in AL
Practice address
201 E University Pkwy Dept of
Baltimore, MD 21218-2829
Phone
(410) 554-2284
Fax
(410) 554-2184
NPI assigned
Mar 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.45820 AL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

201 E University Pkwy Dept of
Baltimore, MD 21218-2829

Mailing address

201 E University Pkwy Dept of
Baltimore, MD 21218-2829
Phone (410) 554-2284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230228000898 AL Practitioner - Internal Medicine 8628486545 Reassigns benefits to 4 organizations
I20240503003035 TN Practitioner - Internal Medicine 8628486545 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crestwood HB Medical Services LLCGroup PAC ID 2163876491, 48 clinicians
HH Health System Crestwood Physicians, LLCGroup PAC ID 8628546397, 33 clinicians
Crestwood Physician Services, LLCGroup PAC ID 3476735648, 38 clinicians

Practice addresses (Care Compare)

1 Hospital Dr SW
Huntsville, AL 35801-6455
Phone (256) 429-4000

165 Whitesport Dr SW
Suite 3
Huntsville, AL 35801-7427
Phone (256) 429-4956

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.45820ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ecm Health Group LLC CurrentSince Nov 21, 2022 Accepting new patients
Crestwood Physician Services, LLC CurrentSince Mar 1, 2025 Accepting new patients
Crestwood HB Medical Services LLC CurrentSince Feb 25, 2024 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Jul 18, 2024 Accepting new patients
Cookeville Hospitalist Group, PLLC CurrentSince Mar 6, 2024 Accepting new patients
HH Health System Crestwood Physicians, LLC Internal Medicine CurrentSince Jun 16, 2026 Accepting new patients
Crestwood Healthcare LP Past Accepting new patients

Locations

541 W College St
Ste 3200
Florence, AL 35630
Phone (256) 760-0098

1701 Veterans Dr
Florence, AL 35630
Phone (256) 629-1900

541 W College St
Ste 3300
Florence, AL 35630
Phone (256) 766-6026

409 N Cedar St
Florence, AL 35630
Phone (256) 766-3062

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000

165 Whitesport Dr SW
Ste 3
Huntsville, AL 35801
Phone (256) 429-4956

5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Interoperability endpoints

  • Direct secure messaging: mahvash.mozafarian.1@3038.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3038/brand/1/csg/64/fhir/r4

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1053870816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E UNIVERSITY PKWY DEPT OF",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182829",
            "telephone_number": "410-554-2284",
            "fax_number": "410-554-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E UNIVERSITY PKWY DEPT OF",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182829",
            "telephone_number": "410-554-2284",
            "fax_number": "410-554-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOZAFARIAN",
        "first_name": "MAHVASH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.45820",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.