Individual provider Active NPI

Mohammad Moussavi, MD

  • Vascular Neurology Physician
  • Tulsa, OK
National Provider Identifier
1811144124
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
V7756 Issued in TX
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

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0261017MedicaidNJ
04140598MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, OH, OK, MN, TX6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20110516000165 NJ Practitioner - NeurologyPractitioner - Vascular SurgeryPractitioner - Critical Care (Intensivists) 1254517998 Reassigns benefits to 1 organization
I20171103002173 NY Practitioner - Neurology 1254517998 Reassigns benefits to 3 organizations
I20240123002095 OH Practitioner - Neurology 1254517998 Reassigns benefits to 1 organization
I20240314004154 OK Practitioner - Neurology 1254517998 Reassigns benefits to 1 organization
I20240315003335 MN Practitioner - Neurology 1254517998 Reassigns benefits to 1 organization
I20250926000025 TX Practitioner - Neurology 1254517998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Tech University Health Sciences Center El PasoGroup PAC ID 7517864754, 306 clinicians

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 Hospital, El Paso, TX, CCN 450024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
290694-1NYMDVascular Neurology Physician
V7756TXMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Health Services Hospitals, Inc. CurrentSince Jan 21, 2026 Accepting new patients
St. Luke'S Hospital of Duluth Current Accepting new patients
North Shore-Lij Medical PC CurrentSince May 1, 2019 Accepting new patients
Rutgers Health-RWJ Neurosurgery Faculty Current Accepting new patients
Mercy Health Physicians Lima Specialty Care LLC CurrentSince Dec 27, 2023 Accepting new patients
St. Luke'S Hospital of Duluth CurrentSince Jan 30, 2024 Accepting new patients
Physicians of University Hospital, PC CurrentSince Sep 18, 2017 Accepting new patients
St. Luke'S Hospital of Duluth CurrentSince Jan 30, 2024 Accepting new patients
Warren Clinic Inc CurrentSince Mar 25, 2024 Accepting new patients
Rutgers Health-RWJ Neurosurgery Faculty CurrentSince Dec 1, 2022 Accepting new patients
Physicians of University Hospital PC CurrentSince Sep 18, 2017 Accepting new patients
Physicians of University Hospital, PC Current Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Oct 1, 2025 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Oct 1, 2025 Accepting new patients
Rutgers Health-RWJ Neurosurgery Faculty CurrentSince Dec 1, 2022 Accepting new patients
Saint Francis Hospital Muskogee Inc PastSince Sep 23, 2024 Accepting new patients
Community Hospital Group, Inc Past Accepting new patients
Community Hospital Group, Inc Past Accepting new patients

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

  • Direct secure messaging: 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.

View all 19

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.