Individual provider Active NPI

Saman Pezeshki, DC

  • Chiropractor
  • Cambridge, MA
National Provider Identifier
1316475353
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3581 Issued in MA
Practice address
1798A Massachusetts Ave
Ste 3B
Cambridge, MA 02140-2809
Phone
(617) 500-9116
NPI assigned
Jun 2, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3581 MA Primary

Addresses

Primary practice location

1798A Massachusetts Ave
Ste 3B
Cambridge, MA 02140-2809

Mailing address

1798A Massachusetts Ave
Ste 3B
Cambridge, MA 02140-2809
Phone (617) 500-9116

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherNONE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170809000217 MA Practitioner - Chiropractic 8628349743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1798 A Massachusetts Ave
Suite B
Cambridge, MA 02140-2809
Phone (617) 500-9116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3581MAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Chiropractic and Wellness LLC Chiropractor CurrentSince Feb 20, 2025 Accepting new patients

Locations

1798 Massachusetts Ave
Ste 3B
Cambridge, MA 02140
Phone (617) 500-9116

1798 Massachusetts Ave
Ste B
Cambridge, MA 02140
Phone (617) 500-9116

Organizations & group practices 1

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": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1316475353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1798A MASSACHUSETTS AVE",
            "address_2": "STE 3B",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021402809",
            "telephone_number": "617-500-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1798A MASSACHUSETTS AVE",
            "address_2": "STE 3B",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021402809",
            "telephone_number": "617-500-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEZESHKI",
        "first_name": "SAMAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-02",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.