NPIMap

Individual provider Active NPI

Hooshang Poor

  • Geriatric Medicine (Internal Medicine) Physician
  • Boston, MA
National Provider Identifier
1225002603
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
50091 Issued in MA
Practice address
22 Liberty Dr Unit 6F
Boston, MA 02210-1325
Phone
(617) 244-1669
Fax
(617) 244-1669
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 50091 MA Primary

Addresses

Primary practice location

22 Liberty Dr Unit 6F
Boston, MA 02210-1325

Mailing address

22 Liberty Dr Unit 6F
Boston, MA 02210-1325
Phone (617) 244-1669

Other identifiers 1

IdentifierTypeStateIssuer
6191177MedicaidMA

Other names 1

  • Hooshang Poor Professional name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL farzipoor@aol.com
Other URL farzipoor@aol.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050324000503 MA Practitioner - Internal Medicine 8325094105 Receives reassigned benefits from 1 practitioner
Practice locations: Wrentham, MA; West Roxbury, MA; Rockland, MA; Randolph, MA; Norwood, MA; Mattapan, MA; Jamaica Plain, MA; Canton, MA…

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
23.26 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.55

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
193 Pleasant Street Operator LLC Past Accepting new patients
Hooshang D Poor, MD PastSince Aug 28, 2012 Accepting new patients
Brockton Rehabilitation and Nursing Center LLC Past Accepting new patients
Edgar P Benjamin Healthcare Center, Inc Past Accepting new patients
Bear Mt Mattapan, LLC Past Accepting new patients
Alliance Health of Wrentham, Inc. Past Accepting new patients
Long Term Centers of Wrentham, Inc Past Accepting new patients

Practitioners & affiliated clinicians

Practitioners 1

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1225002603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 LIBERTY DR UNIT 6F",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022101325",
            "telephone_number": "617-244-1669",
            "fax_number": "617-244-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 LIBERTY DR UNIT 6F",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022101325",
            "telephone_number": "617-244-1669",
            "fax_number": "617-244-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOR",
        "first_name": "HOOSHANG",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MA",
            "license": "50091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6191177",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "farzipoor@aol.com",
            "affiliation": "N",
            "address_1": "22 Liberty Dr Unit 6F",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "022101325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "farzipoor@aol.com",
            "affiliation": "N",
            "address_1": "22 Liberty Dr Unit 6F",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "022101325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HOOSHANG",
            "last_name": "POOR",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.