Individual provider Active NPI

John Khozozian, MD

  • Anesthesiology Physician
  • Westwood, MA
National Provider Identifier
1598740649
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
213767 Issued in MA
Practice address
690 Canton St
Suite 325
Westwood, MA 02090-2321
Phone
(781) 407-7713
Fax
(781) 407-0998
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 213767 MA Primary

Addresses

Primary practice location

690 Canton St
Suite 325
Westwood, MA 02090-2321

Mailing address

Boston Outpatient Surgical Suites
840 Winter St, 3Rd Floor
Waltham, MA 02451
Phone (781) 209-5645

Other practice location 1

Boston Outpatient Surgical Suites
840 Winter St, 3rd Floor
Waltham, MA 02451
Phone (781) 209-5645

Other identifiers 1

IdentifierTypeStateIssuer
2061881MedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL John.Khozozian@envisionhealth.com Other

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
I20040729000938 MA Practitioner - Anesthesiology 2062482763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Boston University School of Medicine, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Capa Anesthesia LLCGroup PAC ID 1850786393, 69 clinicians

Practice addresses (Care Compare)

99 Libbey Industrial Park
Weymouth, MA 02189-3101
Phone (781) 331-0537

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
213767MAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capa Anesthesia LLC Anesthesiology CurrentSince Mar 1, 2023 Accepting new patients
Boston Out-Patient Surgical Suites, LLC PastSince Dec 26, 2021 Accepting new patients
Cap Anesthesia, PC Anesthesiology Past Accepting new patients

Locations

40 Holland St
Somerville, MA 02144
Phone (617) 629-6000

840 Winter St
Ste 3
Waltham, MA 02451
Phone (781) 209-5645

840 Winter St
Waltham, MA 02451
Phone (781) 487-9944

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.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1598740649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOSTON OUTPATIENT SURGICAL SUITES",
            "address_2": "840 WINTER ST, 3RD FLOOR",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "02451",
            "telephone_number": "781-209-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 CANTON ST",
            "address_2": "SUITE 325",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020902321",
            "telephone_number": "781-407-7713",
            "fax_number": "781-407-0998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Boston Outpatient Surgical Suites",
            "address_2": "840 Winter St, 3rd Floor",
            "address_purpose": "LOCATION",
            "city": "Waltham",
            "state": "MA",
            "postal_code": "02451",
            "country_code": "US",
            "telephone_number": "781-209-5645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHOZOZIAN",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "213767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2061881",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "John.Khozozian@envisionhealth.com",
            "affiliation": "N",
            "endpointDescription": "business secure email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "medical information exchange",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "medical exchange",
            "address_1": "840 Winter St, 3rd floor",
            "city": "Waltham",
            "state": "MA",
            "country_code": "US",
            "postal_code": "02451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westwood, MA

Sources for this page

Verify at the official NPI Registry.