Mohammad Hossein Niayesh, MD,FACS,FRCS

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

018906 Issued in ME

Practice address

165 Poplar St Ste 2
Millinocket, ME 04462-1235

Phone

(207) 723-3003

Fax

(207) 723-3006

NPI assigned

Dec 22, 2011

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

Medicare fee-for-service enrollment

Enrolled in ME

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

General Surgery

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Millinocket Regional HospitalGroup PAC ID 3779491212, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Millinocket Regional Hospital Hospital, Millinocket, ME, CCN 201307

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Millinocket Regional Hospital

  • Critical Access Hospital
  • Millinocket, ME
  • NPI 1275646150
  Medicare reassignment Care Compare group NPD
• Calais Community Hospital

  • Critical Access Hospital
  • Calais, ME
  • NPI 1922001049
  Medicare reassignment NPD
• Millinocket Regional Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Millinocket, ME
  • NPI 1578677456
  NPD

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

• Millinocket Regional Hospital

  • Critical Access Hospital
  • Millinocket, ME
  • NPI 1265443196
  Care Compare affiliation
• Millinocket Regional Hospital

  • Critical Access Hospital
  • Millinocket, ME
  • NPI 1275646150
  Care Compare affiliation

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1871862656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SOMERSET ST",
            "city": "MILLINOCKET",
            "state": "ME",
            "postal_code": "044621298",
            "telephone_number": "207-723-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 POPLAR ST STE 2",
            "city": "MILLINOCKET",
            "state": "ME",
            "postal_code": "044621235",
            "telephone_number": "207-723-3003",
            "fax_number": "207-723-3006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Somerset St",
            "address_purpose": "LOCATION",
            "city": "Millinocket",
            "state": "ME",
            "postal_code": "044621298",
            "country_code": "US",
            "telephone_number": "207-723-3374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIAYESH",
        "first_name": "MOHAMMAD",
        "middle_name": "HOSSEIN",
        "name_prefix": "Dr.",
        "credential": "MD,FACS,FRCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-22",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ME",
            "license": "018906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Millinocket Regional Hospital
• Lisa S Milne, N.P.
• Vanessa Rae Moore, RPH
• Caitlin Jill Morse
• Venkataraman Munusamy, M.D.
• Kwaku Owusu-Abrokwa, M.D.
• Gale Ann Paradis, DENTAL ASSISTANT
• Andre Parent, PAC
• Hannah Elizabeth Pelletier
• Johnna Pelletier

• Surgery Physician in Millinocket, ME
• Providers in Millinocket, ME by specialty
• Surgery Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.