Individual provider Active NPI

Sasson E Moulavi, M.D.

  • General Practice Physician
  • Boca Raton, FL
National Provider Identifier
1619248358
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME83741 Issued in FL
Practice address
3196 N Federal Hwy
Boca Raton, FL 33431-6700
Phone
(561) 338-3999
Fax
(561) 338-4944
NPI assigned
Jan 25, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME83741 FL Primary

Addresses

Primary practice location

3196 N Federal Hwy
Boca Raton, FL 33431-6700

Mailing address

190 Glades Rd
Suit E
Boca Raton, FL 33432-1642
Phone (561) 445-4489

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
I20120516000034 FL Practitioner - Family Practice 3375706146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Usai Med LLCGroup PAC ID 1456718675, 4 clinicians

Practice addresses (Care Compare)

3196 N Federal Hwy
Suite a
Boca Raton, FL 33431-6700
Phone (561) 849-3000

Hospital & facility affiliations

  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Usai Med LLC CurrentSince May 18, 2023 Accepting new patients
US Medical Care Wellington, LLC General Practice PastSince Mar 15, 2012 Accepting new patients
Smart for Life Palm Beach County PastSince Jul 8, 2012 Accepting new patients
Anti-Aging Alliance LLC Past Accepting new patients

Locations

3196 N Federal Hwy
Ste A
Boca Raton, FL 33431
Phone (561) 445-4489

3196 N Federal Hwy
Boca Raton, FL 33431
Phone (561) 338-3999

Interoperability endpoints

  • Direct secure messaging: smoulavi@umci-fl.direct.office.nextgen.com
  • Direct secure messaging: rofemedical.sassonmoulavi@155897.advancedmd-direct.com

Organizations & group practices 4

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 1

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": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1619248358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 GLADES RD",
            "address_2": "SUIT E",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321642",
            "telephone_number": "561-445-4489",
            "fax_number": "561-338-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3196 N FEDERAL HWY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316700",
            "telephone_number": "561-338-3999",
            "fax_number": "561-338-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOULAVI",
        "first_name": "SASSON",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-25",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME83741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.