Individual provider Active NPI

Sina Foroutanjazi, MD

  • Dermatology Physician
  • Marlborough, MA
National Provider Identifier
1184356123
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
1027343 Issued in MA
Practice address
201 Boston Post Rd W Ste 200&202
Marlborough, MA 01752-4667
Phone
(508) 460-9613
Fax
(978) 371-0522
NPI assigned
Jun 28, 2022
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 1027343 MA Primary

Addresses

Primary practice location

201 Boston Post Rd W Ste 200&202
Marlborough, MA 01752-4667

Mailing address

526 Main St Ste 302
Acton, MA 01720-3310
Phone (978) 371-7010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Tufts University School of Medicine, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

526 Main St
Suite 302
Acton, MA 01720-3951

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adult & Pediatric Dermatology, P.C. Dermatology CurrentSince Sep 1, 2026 Accepting new patients
Carnation Acupuncture LLC Current Accepting new patients

Locations

201 Boston Post Rd W
Ste 200
Marlborough, MA 01752
Phone (508) 460-9613

201 Boston Post Rd W
Ste 200202
Marlborough, MA 01752
Phone (508) 460-9613

Organizations & group practices 2

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

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": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1184356123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 MAIN ST STE 302",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203310",
            "telephone_number": "978-371-7010",
            "fax_number": "978-371-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BOSTON POST RD W STE 200&202",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017524667",
            "telephone_number": "508-460-9613",
            "fax_number": "978-371-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOROUTANJAZI",
        "first_name": "SINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-28",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "1027343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

Verify at the official NPI Registry.