NPIMap

Individual provider Active NPI

Steven Allie Mortazavi, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Bethlehem, PA
National Provider Identifier
1902805252
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
MD063450L Issued in PA
Practice address
4250 Fritch Dr
Bethlehem, PA 18020-9412
Phone
(610) 954-9040
Fax
(610) 954-9093
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X MD063450L PA Primary

Addresses

Primary practice location

4250 Fritch Dr
Bethlehem, PA 18020-9412

Mailing address

4250 Fritch Dr
Bethlehem, PA 18020-9412
Phone (610) 954-9040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20110513000481 PA Practitioner - Interventional Pain Management 0749187870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
State University of Ny Upstate Medical University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Pain Specialists PCGroup PAC ID 4082511100, 2 clinicians

Practice addresses (Care Compare)

4250 Fritch Dr
Bethlehem, PA 18020-9412
Phone (610) 954-9040

Hospital & facility affiliations

  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049

Merit-based Incentive Payment System (MIPS)

Final score
22.25 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD063450LPAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Surgical Center Inc CurrentSince Jul 1, 2006 Accepting new patients
Valley Pain Specialists PC CurrentSince Sep 30, 1998 Accepting new patients

Locations

4250 Fritch Dr
Bethlehem, PA 18020
Phone (610) 954-9040

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Organizations & group practices 2

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 11

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236211200000",
    "number": "1902805252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 FRITCH DR",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180209412",
            "telephone_number": "610-954-9040",
            "fax_number": "610-954-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 FRITCH DR",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180209412",
            "telephone_number": "610-954-9040",
            "fax_number": "610-954-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTAZAVI",
        "first_name": "STEVEN",
        "middle_name": "ALLIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2009-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "MD063450L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.