Navid Bouzari, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

242646 Issued in MA

Practice address

1 Scobee Cir Ste 3
South Shore Skin Center
Plymouth, MA 02360-4887

Phone

(508) 747-0711

Fax

(508) 746-9265

NPI assigned

May 24, 2007

Last updated

Sep 24, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

DermatologyAlso: Micrographic Dermatologic Surgery (MDS)

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Dermatology Associates PCGroup PAC ID 3072403799, 84 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cape Cod Hospital Hospital, Hyannis, MA, CCN 220012

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drbouzari@southshoreskin.emadirect.md

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.

• Northeast Dermatology Associates, PC

  • Specialist
  • North Andover, MA
  • NPI 1104921162
  Medicare reassignment Care Compare group NPD
• Dermatology Associates PC

  • Dermatology Physician
  • Norwood, MA
  • NPI 1063570075
  Medicare reassignment NPD
• South Shore Skin Center, LLC

  • Specialist
  • Plymouth, MA
  • NPI 1790763159
  Medicare reassignment NPD
• Neda at North Shore PC

  • Dermatology Physician
  • Marblehead, MA
  • NPI 1902345861
  NPD
• Nedas LLC

  dba Northeast Dermatology Associates

  • Dermatology Physician
  • North Andover, MA
  • NPI 1043683923
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cape Cod Hospital Inc

  dba Cape Cod Hospital

  • General Acute Care Hospital
  • Hyannis, MA
  • NPI 1114984671
  Care Compare affiliation

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1417168535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SCOBEE CIR STE 3",
            "address_2": "SOUTH SHORE SKIN CENTER",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604887",
            "telephone_number": "508-747-0711",
            "fax_number": "508-746-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SCOBEE CIR STE 3",
            "address_2": "SOUTH SHORE SKIN CENTER",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604887",
            "telephone_number": "508-747-0711",
            "fax_number": "508-746-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUZARI",
        "first_name": "NAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "242646",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MA",
            "license": "242646",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110086134A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Boudreau
• Kristina Boudreaux, LICSW
• Natasha Bourgoin
• Mikayla T Bousquet
• Susan Denise Boutin
• John A Bove
• Colleen M Bowler, M.ED., LMHC
• Elaine D. Bowman
• Micayla Bowman, SLP
• Lisa M Boyer

• Dermatology Physician in Plymouth, MA
• Providers in Plymouth, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.

Verify at the official NPI Registry.