Morteza S. Mousavi, M.D., P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101033951 Issued in VA

Legal business name

MORTEZA S. MOUSAVI, M.D., P.C.

Practice address

2296 Opitz Blvd
Suite 340
Woodbridge, VA 22191-3300

Phone

(703) 878-0941

Fax

(703) 878-0857

NPI assigned

Feb 22, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Morteza S. Mousavi, M.D.NPI 1861442055

Title

Owner

Phone

(703) 878-0941

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Morteza S Mousavi, M.D.

  • Specialist
  • Woodbridge, VA
  • NPI 1861442055
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270080000000",
    "number": "1063734820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2296 OPITZ BLVD.",
            "address_2": "SUITE 340",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913346",
            "telephone_number": "703-878-0941",
            "fax_number": "703-878-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2296 OPITZ BLVD",
            "address_2": "SUITE 340",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913300",
            "telephone_number": "703-878-0941",
            "fax_number": "703-878-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORTEZA S. MOUSAVI, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-04-01",
        "status": "A",
        "authorized_official_last_name": "MOUSAVI",
        "authorized_official_first_name": "MORTEZA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-878-0941",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101033951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006033989",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Breanna Morris, MS CCC-SLP
• Rachel Elizabeth Morrison, DPT
• Sasha Morrison, LPC
• Patricia May Morrissey, CRNA
• Ala Sayed Mortazavi, MD
• Margaret Mossler, D.D.S., M.S.
• Motor Vehicle Business
• Mount Zion Home Health Services LLC
• Morteza S Mousavi, M.D.
• Sohail Moussavi, MD

• Specialist in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.