Individual provider Active NPI

Mahmoud Goodarzi, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Needham, MA
National Provider Identifier
1447425954
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
242199 Issued in MA
Practice address
15 Crawford St Ste 100
Needham, MA 02494-2618
Phone
(617) 969-4100
NPI assigned
Apr 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X M9320 TX
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 242199 MA Primary

Addresses

Primary practice location

15 Crawford St Ste 100
Needham, MA 02494-2618

Mailing address

PO Box 840294
Dallas, TX 75284-0294
Phone (888) 344-1160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MA, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20081022000624 TX Practitioner - Pathology 8729146584 Reassigns benefits to 5 organizations
I20100329000439 MA Practitioner - Pathology 8729146584
I20251015004775 AZ Practitioner - Pathology 8729146584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sagis PLLCGroup PAC ID 3274797212, 27 clinicians

Practice addresses (Care Compare)

4131 Directors Row
Houston, TX 77092-8703
Phone (877) 697-2447

Merit-based Incentive Payment System (MIPS)

Final score
87.56 of 100Reported as group
Quality
85.37
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
242199MAMDAnatomic Pathology & Clinical Pathology Physician
M9320TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sagis, PLLC Anatomic Pathology & Clinical Pathology CurrentSince Jun 1, 2023 Accepting new patients
Houston Pathology Associates Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2025 Accepting new patients
Clear Lake Pathology Partners LTD Anatomic Pathology & Clinical Pathology CurrentSince Jun 1, 2023 Accepting new patients
Alliance Pathology Consultants PA Anatomic Pathology & Clinical Pathology CurrentSince Jun 1, 2023 Accepting new patients
J S Wilkenfeld MD & Associates Anatomic Pathology & Clinical Pathology CurrentSince Jun 1, 2023 Accepting new patients
Sagis PLLC CurrentSince Jun 1, 2023 Accepting new patients

Locations

4582 N 1st Ave
Ste 120
Tucson, AZ 85718
Phone (520) 888-2121

1033 La Posada Dr
Ste 365
Austin, TX 78752

2537 S Gessner Rd
Ste 200
Houston, TX 77063

4200 Twelve Oaks Dr
Houston, TX 77027
Phone (713) 621-5010

7600 Fannin St
Houston, TX 77054
Phone (713) 791-7115

4131 Directors Row
Houston, TX 77092
Phone (713) 586-6705

6441 Main St
Houston, TX 77030
Phone (713) 790-0500

110 Memorial Hospital Dr
Huntsville, TX 77340
Phone (936) 291-4276

10918 Vance Jackson Rd
Ste 100
San Antonio, TX 78230
Phone (210) 558-9996

Organizations & group practices 6

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": "1209081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1447425954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840294",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840294",
            "telephone_number": "888-344-1160",
            "fax_number": "972-331-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CRAWFORD ST STE 100",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024942618",
            "telephone_number": "617-969-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODARZI",
        "first_name": "MAHMOUD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-25",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "M9320",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MA",
            "license": "242199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

Verify at the official NPI Registry.