Individual provider Active NPI

Fatemeh Rhana Mousavi, MD

  • Cytopathology Physician
  • Ft Lauderdale, FL
National Provider Identifier
1417159682
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cytopathology PhysicianTaxonomy code 207ZC0500X
License
ME94764 Issued in FL
Practice address
5361 NW 33Rd Ave
Ft Lauderdale, FL 33309-6313
Phone
(954) 717-0300
Fax
(561) 270-0391
NPI assigned
Jun 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X ME94764 FL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME94764 FL
Cytopathology Physician 207ZC0500X ME94764 FL Primary

Addresses

Primary practice location

5361 NW 33Rd Ave
Ft Lauderdale, FL 33309-6313

Mailing address

10425 Avenida del Rio
Delray Beach, FL 33446-2417
Phone (561) 306-4906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20070827000401 FL Practitioner - Pathology 9234221946 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Beach Pathology, PAGroup PAC ID 1658350350, shared by 3 NPIs, 8 clinicians

Practice addresses (Care Compare)

1309 N Flagler Dr
West Palm BCH, FL 33401-3406
Phone (561) 642-2998

3360 Burns Rd
Palm Beach Gardens, FL 33410-4323
Phone (561) 642-2998

5352 Linton Blvd
Delray Beach, FL 33484-6514
Phone (561) 495-3185

Hospital & facility affiliations

  • Delray Medical Center Hospital, Delray Beach, FL, CCN 100258
  • HCA Florida North Florida Hospital Hospital, Gainesville, FL, CCN 100204
  • HCA Florida Gulf Coast Hospital Hospital, Panama City, FL, CCN 100242
  • HCA Florida Aventura Hospital Hospital, Aventura, FL, CCN 100131
  • HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Pathology PA Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2026 Accepting new patients
Palm Beach Pathology, PA Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2026 Accepting new patients
Palm Beach Pathology, PA Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2026 Accepting new patients

Locations

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411

Networks

  • Optimum HealthCare HMO Network

Organizations & group practices 3

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.

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1417159682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10425 AVENIDA DEL RIO",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462417",
            "telephone_number": "561-306-4906",
            "fax_number": "561-270-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5361 NW 33RD AVE",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333096313",
            "telephone_number": "954-717-0300",
            "fax_number": "561-270-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSAVI",
        "first_name": "FATEMEH",
        "middle_name": "RHANA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "FL",
            "license": "ME94764",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME94764",
            "primary": false
        },
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "FL",
            "license": "ME94764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.