Mahmood Reza Vaezzadeh, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD2008-0583 Issued in NM

Practice address

4705 Montgomery Blvd NE
Suite 301
Albuquerque, NM 87109-1226

Phone

(505) 727-4500

Fax

(505) 727-4505

NPI assigned

Aug 26, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT

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

Obstetrics/Gynecology

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Country Hospital and Health Center IncGroup PAC ID 9739073479, 50 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Country Hospital and Health Center Hospital, Newport, VT, CCN 471304

Merit-based Incentive Payment System (MIPS)

Final score

83.39 of 100Reported as group

Quality

72.51

Promoting interoperability

100

Improvement activities

40

Cost

55.45

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/4a15a283-6747-4ef7-984f-ce0e904fd6f0/

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.

• North Country Hospital & Health Center Inc

  • Obstetrics & Gynecology Physician
  • Newport, VT
  • NPI 1295868008
  Medicare reassignment Care Compare group NPD
• North Country Hospital & Health Center Inc

  • Critical Access Hospital
  • Newport, VT
  • NPI 1144251059
  Medicare reassignment
• North Country Hospital & Health Center Inc

  • Rural Health Clinic/Center
  • Barton, VT
  • NPI 1104868892

  Family Medicine

  NPD
• North Country Hospital & Health Center Inc

  • Internal Medicine Physician
  • Newport, VT
  • NPI 1417023904
  NPD
• North Country Hospital & Health Center Inc

  • Surgery Physician
  • Newport, VT
  • NPI 1679551238
  NPD
• East West OBGYN

  • Gynecology Physician
  • West Hartford, CT
  • NPI 1356606123
  NPD (past)

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

• North Country Hospital & Health Center Inc

  • Critical Access Hospital
  • Newport, VT
  • NPI 1144251059
  Care Compare affiliation

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448409600000",
    "number": "1710134341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 MONTGOMERY BLVD NE",
            "address_2": "SUITE 301",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091226",
            "telephone_number": "505-727-4500",
            "fax_number": "505-727-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 MONTGOMERY BLVD NE",
            "address_2": "SUITE 301",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091226",
            "telephone_number": "505-727-4500",
            "fax_number": "505-727-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAEZZADEH",
        "first_name": "MAHMOOD",
        "middle_name": "REZA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-26",
        "last_updated": "2015-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NM",
            "license": "MD2008-0583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95735526",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra Vaccaro, FNP-C
• Suzanne Vaccaro
• Vaccines for Health
• Joni Vachon, DC
• Cherie Vachowiak, M.S., CF-SLP
• Vagabond Inn Executive
• Firoz S Vagh, MD
• Arman Vaghefi, DO
• Neel Vahil
• Kayleen Renee Vahle, RD

• Obstetrics & Gynecology Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Obstetrics & Gynecology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.