NPIMap

Individual provider Active NPI

Mohammad R. Mostafavi, M.D.

  • Urology Physician
  • Springfield, MA
National Provider Identifier
1649240755
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
151357 Issued in MA
Practice address
3640 Main St
Suite 103
Springfield, MA 01107-1145
Phone
(413) 785-5321
Fax
(413) 731-7130
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 151357 MA Primary

Addresses

Primary practice location

3640 Main St
Suite 103
Springfield, MA 01107-1145

Mailing address

3640 Main St
Suite 103
Springfield, MA 01107-1145
Phone (413) 785-5321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081008000012 MA Practitioner - Urology 1052382462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Tufts University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Group of Western New England, P.C.Group PAC ID 9436120847, 12 clinicians

Practice addresses (Care Compare)

3640 Main St
Suite 103
Springfield, MA 01107-1139
Phone (413) 785-5321

Hospital & facility affiliations

  • Mercy Medical Ctr Hospital, Springfield, MA, CCN 220066
  • Baystate Noble Hospital Hospital, Westfield, MA, CCN 220065
  • Cooley Dickinson Hospital Inc,the Hospital, Northampton, MA, CCN 220015
  • Holyoke Medical Center Hospital, Holyoke, MA, CCN 220024
  • Baystate Medical Center Hospital, Springfield, MA, CCN 220077

Merit-based Incentive Payment System (MIPS)

Final score
94.9 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
151357MAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Group of Western New England, P.C. Urology CurrentSince Jul 25, 1996 Accepting new patients
System Coordinated Services, Inc Past Accepting new patients
Riverbend Medical Group, Inc Past Accepting new patients

Locations

61 Locust St
Ste 1
Northampton, MA 01060
Phone (413) 584-2303

61 Locust St
Northampton, MA 01060
Phone (413) 584-2303

3640 Main St
Fl 1
Springfield, MA 01107
Phone (413) 785-5321

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

3640 Main St
Ste 103
Springfield, MA 01107
Phone (413) 785-5321

115 W Silver St
#1
Westfield, MA 01085

115 W Silver St
Westfield, MA 01085
Phone (413) 562-3444

Interoperability endpoints

  • Direct secure messaging: mmostafavi2408861@direct.trinity-health.org
  • Direct secure messaging: mohammadmostafavi@ugwne.medalliesdirect.net

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 8

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234483200000",
    "number": "1649240755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 MAIN ST",
            "address_2": "SUITE 103",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071145",
            "telephone_number": "413-785-5321",
            "fax_number": "413-731-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 MAIN ST",
            "address_2": "SUITE 103",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071145",
            "telephone_number": "413-785-5321",
            "fax_number": "413-731-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSTAFAVI",
        "first_name": "MOHAMMAD",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2009-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MA",
            "license": "151357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.