Mehdi Robert Motazedi, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

27602 Issued in CO

Practice address

1985 Dominion Way
Colorado Springs, CO 80918-1476

Phone

(719) 596-4000

Fax

(719) 570-6253

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Colorado Laser Clinic Inc

  • Plastic Surgery Physician
  • Colorado Springs, CO
  • NPI 1740623081
  NPD (past)
• Trinidad Area Health Association

  • Family Medicine Physician
  • Trinidad, CO
  • NPI 1467400309
  NPD (past)
• Taos Health Systems, Inc., Holy Cross Hospital

  • Critical Access Hospital
  • Taos, NM
  • NPI 1902338049
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409270400000",
    "number": "1962501510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 DOMINION WAY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181476",
            "telephone_number": "719-596-4000",
            "fax_number": "719-570-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 DOMINION WAY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181476",
            "telephone_number": "719-596-4000",
            "fax_number": "719-570-6253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTAZEDI",
        "first_name": "MEHDI",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2014-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "27602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Charles Moss, L.P.C.
• Stephanie Moss, B.A.
• Victoria Rose Moss, M.D.
• Barbara Mosser
• Kylie Mossop
• Lindsey Motes
• Motion Studies
• Motivational One Counseling LLC
• Motivational One Counseling LLC
• Motivational One Counseling LLC

• Specialist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.