Individual provider Active NPI

Houtan Golzari, M.D.

  • Internal Medicine Physician
  • Newburyport, MA
National Provider Identifier
1407946767
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
241657 Issued in MA
Practice address
21 Highland Ave Ste 24
Newburyport, MA 01950-3873
Phone
(978) 462-1555
Fax
(978) 462-1560
NPI assigned
Oct 14, 2006
Last updated
May 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 241657 MA Primary

Addresses

Primary practice location

21 Highland Ave Ste 24
Newburyport, MA 01950-3873

Mailing address

425 Revere St
Revere, MA 02151-4543
Phone (781) 286-1313

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131216000043 MA Practitioner - Internal Medicine 3274515515 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

21 Highland Ave
Suite 24
Newburyport, MA 01950-3867

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anna Jaques Inpatient Specialists PLLC Internal Medicine CurrentSince Nov 1, 2024 Accepting new patients
Black Rock TPK Med GRP Internal Medicine Current Accepting new patients
Revere Medical of Massachusetts, PC Internal Medicine CurrentSince Dec 23, 2024 Accepting new patients
Steward Medical Group, Inc CurrentSince Jul 1, 2024 Accepting new patients
Medical Care of Boston Management Corporation Internal Medicine CurrentSince Apr 28, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Jul 1, 2024 Accepting new patients
Ipc Hospitalists of New England, P.C. Internal Medicine Current Accepting new patients
Ipc Hospitalists of New England PC Internal Medicine CurrentSince Dec 2, 2013 Accepting new patients
Ipc Hospitalists of New England, P.C. Internal Medicine CurrentSince Dec 2, 2013 Accepting new patients

Locations

2150 Black Rock Tpke
Fairfield, CT 06825
Phone (203) 334-7400

5520 Park Ave
Trumbull, CT 06611
Phone (203) 334-7400

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

1 Pearl St
Ste 1000
Brockton, MA 02301
Phone (508) 897-6050

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

67 Union St
Natick, MA 01760
Phone (508) 383-1104

21 Highland Ave
Ste 2
Newburyport, MA 01950
Phone (978) 463-7770

21 Highland Ave
Ste 24
Newburyport, MA 01950
Phone (508) 462-1555

25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734

111 Huntoon Memorial Hwy
Rochdale, MA 01542
Phone (508) 892-4858

93 Pond St
Sharon, MA 02067
Phone (781) 784-9212

1 Harbison Way
Ste 222
Columbia, SC 29212

Organizations & group practices 9

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 5

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": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1407946767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 REVERE ST",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021514543",
            "telephone_number": "781-286-1313",
            "fax_number": "781-286-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HIGHLAND AVE STE 24",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503873",
            "telephone_number": "978-462-1555",
            "fax_number": "978-462-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLZARI",
        "first_name": "HOUTAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "241657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

Verify at the official NPI Registry.