Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1841630191 Deactivated / Inactive NPI Male Practitioner

Dr. Mesum Moosavi , MD

General Practice • Hawthorne, NJ

✓ Accepts Medicare Assignment Telehealth Available
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mesum Moosavi has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 01, 2013
NPI Deactivation Date October 18, 2017
Total Practice Duration ~4 Years of Practice (2013 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Mesum Moosavi, MD was a registered General Practice in Hawthorne, NJ. Prior to record deactivation on 2017-10-18, Dr. Moosavi completed approximately 4 years of clinical practice following graduation from George Washington University School Of Medicine in 2013.

Dr. Moosavi maintained professional affiliations with Medassist Nj Ii, Wound Healing Associates Pc and accepted Medicare assignment . Telehealth and virtual consultation options were offered for eligible patients.

Historical Medicare Part B clinical services included complex chronic care management services for two or more chronic conditions, complex chronic care management services for two or more chronic conditions, first, chronic care management services, first. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

290 Lafayette Ave

Hawthorne, NJ 075061961

Telephone 8562660445
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

George Washington University School Of Medicine

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Hawthorne, NJ

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs Matches City Avg
City Avg: 13.0 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Hawthorne, NJ (269 Statewide)

Telehealth Adoption Rate
100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
14.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moosavi (13 Years) 13 Yrs
Hawthorne Specialty Average (13.0 Years) 13.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month
29,685 1,443 $76.50 $75.27
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month
6,671 1,496 $146.00 $141.76
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
521 406 $75.39 $65.77
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
496 157 $121.47 $111.91
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes
408 361 $156.83 $138.10
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
310 310 $183.05 $173.10
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute
275 69 $47.76 $41.40
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
215 136 $83.05 $77.56
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes
161 75 $61.24 $51.91
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
158 13 $139.48 $131.78
99306 Initial nursing facility visit, typically 45 minutes per day
151 133 $206.33 $187.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
112 112 $123.21 $117.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
111 111 $155.84 $136.14
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days
83 35 $66.44 $51.42
99442 Telephone medical discussion with physician, 11-20 minutes
58 58 $135.88 $95.38
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment
33 33 $27.62 $21.70
G0444 Annual depression screening, 5 to 15 minutes
28 28 $20.59 $20.18
99441 Telephone medical discussion with physician, 5-10 minutes
19 19 $70.30 $58.88
99484 Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional
16 14 $164.82 $57.75

Medical Specialties & State Licenses

CMS Verified: 2023-08-23
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NJ 25MA10937100

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Surgery

NUCC Taxonomy Code: 208600000X

State License AZ R73958

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Medassist Nj Ii

None, Spring Valley, NY 10977

Phone: 8453776670

Wound Healing Associates Pc

895 Westfield Rd, Moorestown, NJ 080572123

Phone: 9734279200

Medassist Nj Ii

419 E County Line Rd, Lakewood, NJ 087011426

Phone: 8453776670

Wound Healing Associates Pc

221 County Rd, Cresskill, NJ 076261605

Phone: 9734279200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Brian Trava , DMD

Dentist - Endodontics

NPI 1538370234

Doctor of Dental Medicine

Alison Petix

Dentist - Endodontics

NPI 1548537129
Dr. Christopher Bauer , DMD

Dentist - Endodontics

NPI 1962731695

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location August 23, 2023

Registered at 290 LAFAYETTE AVE, HAWTHORNE, NJ 075061961 (Tel: 8562660445)

📍
Updated Practice Location August 25, 2022

Registered at 830 MORRIS TPKE, SHORT HILLS, NJ 070782625 (Tel: 8562660445)

📍
Updated Business Mailing Address August 25, 2022

Registered at 830 MORRIS TPKE FL 4, SHORT HILLS, NJ 070782625

🔄
NPI Profile Reactivated December 13, 2017

Record officially reactivated for active practice on December 13, 2017

📍
Updated Practice Location December 13, 2017

Registered at 1501 N CAMPBELL AVE, TUCSON, AZ 857240001 (Tel: 5206267747)

📍
Updated Business Mailing Address December 13, 2017

Registered at 3993 N CAMPBELL AVE, APT 1111, TUCSON, AZ 857191431

👤
Provider Name / Credentials Updated December 13, 2017

Recorded as MESUM MOOSAVI, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2017

Surgery (License #R73958 in AZ)

⚠️
NPI Profile Deactivated October 18, 2017

Record deactivated on October 18, 2017

NPI Profile Active July 01, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 01, 2013

Registered at 1501 N CAMPBELL AVE, TUCSON, AZ 857240001 (Tel: 5206267747)

📍
Updated Business Mailing Address July 01, 2013

Registered at 3993 N CAMPBELL AVE, APT 1111, TUCSON, AZ 857191431

👤
Provider Name / Credentials Updated July 01, 2013

Recorded as MESUM MOOSAVI, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2013

Surgery (License #R73958 in AZ)

🟢
Initial NPI Registration & Enumeration July 01, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1841630191
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2013
Last Update: August 23, 2023
Deactivation Date: October 18, 2017
Sole Proprietor: Yes

Mailing Address

830 Morris Tpke Fl 4

Short Hills, NJ 070782625

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.