Active NPI
Mahziar Khazaali
- Urology Physician
- Brighton, MA
National Provider Identifier
1336985043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 3015876
- Practice address
- 11 Nevins St Ste 303
Brighton, MA 02135-3514 - Phone
- (617) 787-8181
- Fax
- (617) 787-4644
- NPI assigned
- Jul 2, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 3015876 | MA | Primary |
Addresses
Primary practice location
11 Nevins St Ste 303
Brighton, MA 02135-3514
Mailing address
11 Nevins St Ste 303
Brighton, MA 02135-3514
Phone (617) 787-8181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260610002411 | PA | Practitioner - Urology | 6507334752 |
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
600 Medical Arts BLDG
Suite 660
Kittanning, PA 16201-7110
Phone (724) 548-3884
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3015876 | MA | MD | Urology Physician |
Interoperability endpoints
- mahziar.khazaali.1@2017.direct.athenahealth.com
- mkhazaali262954@direct.bmc.masshiway.net
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.
-
- Family Medicine Physician
- Kittanning, PA
- NPI 1881820850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735171200000",
"number": "1336985043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 NEVINS ST STE 303",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021353514",
"telephone_number": "617-787-8181",
"fax_number": "617-787-4644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 NEVINS ST STE 303",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021353514",
"telephone_number": "617-787-8181",
"fax_number": "617-787-4644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAZAALI",
"first_name": "MAHZIAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-02",
"last_updated": "2024-12-26",
"certification_date": "2024-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MA",
"license": "3015876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brighton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.