Active NPI
Mohammad Moussavi, MD
- Vascular Neurology Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Neurology Physician
- License
- V7756
- Practice address
- 6475 S Yale Ave Ste 308
Tulsa, OK 74136-7802 - Phone
- (918) 499-4000
- Fax
- (918) 499-4001
- NPI assigned
- Aug 19, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 290694-1 | NY | |
| Neurology Physician | 2084N0400X | V7756 | TX | |
| Vascular Neurology Physician | 2084V0102X | 42648 | OK | |
| Neurocritical Care Physician | 2084A2900X | V7756 | TX | |
| Vascular Neurology Physician | 2084V0102X | V7756 | TX | Primary |
| Vascular Neurology Physician | 2084V0102X | 25MA08607400 | NJ | |
| Neurology Physician | 2084N0400X | 25MA08607400 | NJ | |
| Vascular Neurology Physician | 2084V0102X | 290694-1 | NY |
Addresses
Primary practice location
6475 S Yale Ave Ste 308
Tulsa, OK 74136-7802
Mailing address
6600 S Yale Ave Ste 1400
Tulsa, OK 74136-3331
Phone (888) 247-0125
Other practice location 1
1221 Sixth St Ste 300
Traverse City, MI 49684-2360
Phone (231) 392-0640
Other practice location 2
4801 Alberta Ave
El Paso, TX 79905-2707
Phone (915) 215-5900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0261017 | Medicaid | NJ | |
| 04140598 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY, OH, OK, MN, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4801 Alberta Ave
El Paso, TX 79905-2707
Phone (915) 215-5300
Hospital & facility affiliations
- University Medical Center of El Paso
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 290694-1 | NY | MD | Vascular Neurology Physician |
| V7756 | TX | MD | Vascular Neurology Physician |
Practice roles
Locations
29980 Network Pl
Chicago, IL 60673
1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860
915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352
125 Paterson St
Ste 4100
New Brunswick, NJ 08901
Phone (732) 235-7756
1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887
379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545
300 Community Dr
Plandome, NY 11030
501 Seaview Ave
Staten Island, NY 10305
Phone (718) 667-4700
242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458
1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047
475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855
401 Seaview Ave
Lowr
Staten Island, NY 10305
Phone (718) 226-6186
972 Brush Hollow Rd
Westbury, NY 11590
830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960
770 W High St
Ste 160
Lima, OH 45801
Phone (419) 996-5224
6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045
6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125
6475 S Yale Ave
Ste 308
Tulsa, OK 74136
Phone (918) 499-4000
4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200
Interoperability endpoints
- mmoussavi237523@direct.aspirus.org
Organizations & group practices 19
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.
-
- Internal Medicine Physician
- El Paso, TX
- NPI 1598705055
-
- General Practice Physician
- Tulsa, OK
- NPI 1174582282
-
- Surgery Physician
- Lima, OH
- NPI 1518589803
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Geriatric Medicine (Internal Medicine) Physician
- Staten Island, NY
- NPI 1417901323
-
- Urology Physician
- New Brunswick, NJ
- NPI 1710012604
-
- Rehabilitation Hospital Unit
- Duluth, MN
- NPI 1902845068
-
- Multi-Specialty Clinic/Center
- Johnson City, NY
- NPI 1962463851
-
- Allergy & Immunology Physician
- Staten Island, NY
- NPI 1013368224
-
- Anesthesiology Physician
- Bay Shore, NY
- NPI 1023513116
-
- Vascular Surgery Physician
- New Brunswick, NJ
- NPI 1427121052
-
- Durable Medical Equipment & Medical Supplies
- Neptune, NJ
- NPI 1861290744
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1316936990
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1619747938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758844800000",
"number": "1811144124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 S YALE AVE STE 1400",
"city": "TULSA",
"state": "OK",
"postal_code": "741363331",
"telephone_number": "888-247-0125",
"fax_number": "918-502-8210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6475 S YALE AVE STE 308",
"city": "TULSA",
"state": "OK",
"postal_code": "741367802",
"telephone_number": "918-499-4000",
"fax_number": "918-499-4001"
}
],
"practiceLocations": [
{
"address_1": "1221 Sixth St Ste 300",
"address_purpose": "LOCATION",
"city": "Traverse City",
"state": "MI",
"postal_code": "496842360",
"country_code": "US",
"telephone_number": "231-392-0640",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4801 Alberta Ave",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799052707",
"country_code": "US",
"telephone_number": "915-215-5900",
"fax_number": "915-215-8615",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOUSSAVI",
"first_name": "MOHAMMAD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-19",
"last_updated": "2025-09-26",
"certification_date": "2025-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "290694-1",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "V7756",
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "OK",
"license": "42648",
"primary": false
},
{
"code": "2084A2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurocritical Care",
"state": "TX",
"license": "V7756",
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "TX",
"license": "V7756",
"primary": true
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "NJ",
"license": "25MA08607400",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NJ",
"license": "25MA08607400",
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "NY",
"license": "290694-1",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0261017",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04140598",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.