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Active NPI 1679079115 Individual Practitioner Female Practitioner

Dr. Fatemeh Mirzamohammadi , MD, PhD

Plastic Surgery • Kettering, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Fatemeh Mirzamohammadi, MD, PhD is a certified Plastic Surgery practicing in Kettering, OH. With approximately 14 years of clinical experience since completing medical education in 2012, Dr. Mirzamohammadi delivers high-quality medical care to the local community at 3700 SOUTHERN BLVD STE 201.

Dr. Mirzamohammadi maintains professional affiliations with Massachusetts General Physicians Organization Inc, The General Hospital Corporation and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

3700 Southern Blvd Ste 201

Kettering, OH 454291265

Telephone 8555002873

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Kettering, OH

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs -4.3 yrs vs City Avg
City Avg: 18.3 Yrs
State Avg: 27.3 Yrs
Regional Practice Density
4 Specialists

Practicing in Kettering, OH (240 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mirzamohammadi (14 Years) 14 Yrs
Kettering Specialty Average (18.3 Years) 18.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-06-17
Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License MA 1022749

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Surgery - Plastic and Reconstructive Surgery

NUCC Taxonomy Code: 2086S0122X

State License OH 35.156456

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bluecross Blueshield
CDW960678657 (MA)

Hospital & Practice Group Affiliations

The General Hospital Corporation

55 Fruit St, Boston, MA 021142621

Phone: 6177262000

Massachusetts General Physicians Organization Inc

55 Fruit St, Boston, MA 021142696

Phone: 6177240287

Secondary Practice Locations

15 Parkman St

Boston, MA 021143117

Phone: 8774245678

55 Fruit St

Boston, MA 021142696

Phone: 6176768785

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Heather Riggs Carter , MD

Internal Medicine - Hematology & Oncology

NPI 1003875535

Doctor of Medicine (M.D.)

Dr. Arun Sendilnathan , MD

Internal Medicine - Hematology & Oncology

NPI 1013298223

Doctor of Medicine (M.D.)

Erica Ertel

Nurse Practitioner - Family

NPI 1013381037
Nicole Buckingham , APRN-CNP

Nurse Practitioner - Gerontology

NPI 1053906156

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Deborah Wise , CNS

Clinical Nurse Specialist - Oncology

NPI 1134340599

Clinical Nurse Specialist

Dr. Roxana Aguirre Pedroza , MD

Internal Medicine - Hematology & Oncology

NPI 1144537135

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location June 17, 2026

Registered at 3700 SOUTHERN BLVD STE 201, KETTERING, OH 454291265 (Tel: 8555002873)

📍
Updated Business Mailing Address June 17, 2026

Registered at 3700 SOUTHERN BLVD STE 201, KETTERING, OH 454291265 (Tel: 8555002873)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2026

Surgery (License #35.156456 in OH)

📍
Updated Practice Location August 08, 2025

Registered at 55 FRUIT ST, BOSTON, MA 021142696 (Tel: 6176768785)

📍
Updated Business Mailing Address August 08, 2025

Registered at 55 FRUIT ST, BOSTON, MA 021142696 (Tel: 1767687856)

👤
Provider Name / Credentials Updated August 08, 2025

Recorded as FATEMEH MIRZAMOHAMMADI, MD,PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2025

Plastic Surgery (License #1022749 in MA)

NPI Profile Active April 03, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 03, 2018

Registered at 22 S GREENE ST # S8B12, BALTIMORE, MD 212011590 (Tel: 4103286713)

📍
Updated Business Mailing Address April 03, 2018

Registered at 22 S GREENE ST # S8B12, BALTIMORE, MD 212011590 (Tel: 4103286713)

👤
Provider Name / Credentials Updated April 03, 2018

Recorded as FATEMEH MIRZAMOHAMMADI, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 03, 2018

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: 1679079115
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2018
Last Update: June 17, 2026
Sole Proprietor: No

Mailing Address

3700 Southern Blvd Ste 201

Kettering, OH 454291265

Phone: 8555002873

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.