Mohammad Mozayen
Internal Medicine (Hematology & Oncology)

Address: 19550 E 39th St S, Suite 315, Independence, MO 64057-2358
Phone: 8166988290

Mohammad Mozayen (NPI# 1437340668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1437340668
Entity Type Individual
Full Name Mohammad Mozayen
Credential MD
Gender Male
Practice Address 19550 E 39th St S
Suite 315
Independence
MO 64057-2358
Practice Telephone 8166988290
Practice Fax Number 8166988291
Mailing Address 19550 E 39th St S
Suite 315
Independence
MO 64057-2358
Mailing Telephone 8166988290
Mailing Fax Number 8166988291
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2007-08-05
Last Update Date 2015-09-01

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 207R00000X Internal Medicine Allopathic & Osteopathic Physicians 4301090172 MI
Yes 207RH0003X Internal Medicine · Hematology & Oncology Allopathic & Osteopathic Physicians 2015013494 MO
No 207RH0003X Internal Medicine · Hematology & Oncology Allopathic & Osteopathic Physicians 04-38127 KS

Physician Overview

NPI 1437340668
PAC ID by PECOS 2668523606
Professional Enrollment ID I20150820010043
Full Name Mohammad Mozayen
Organization Legal Name MIDWEST ONCOLOGY ASSOCIATES LLC
Phone Number 8162285900
Gender M
Graduation Year 2005
Primary Specialty HEMATOLOGY/ONCOLOGY
Secondary Specialties INTERNAL MEDICINE
Group Practice PAC ID 3779635172
Number of Group Practice Members 33
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
260095 CENTERPOINT MEDICAL CENTER
261332 CARROLL COUNTY MEMORIAL HOSPITAL
260193 ST MARYS MEDICAL CENTER

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
PQRS_EP_110_1 Preventive Care and Screening: Influenza Immunization 26%
PQRS_EP_130_1 Documentation of Current Medications in the Medical Record 94%
PQRS_EP_47_1 Advance Care Plan 89%

Office Location

Street Address 19550 E 39TH ST S
SUITE 315
City INDEPENDENCE
State MO
Zip Code 64057-2358

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225031909 Nathan T. Wegner Specialist 19550 E 39th St S, Suite 310, Independence, MO 64057-2303 2005-05-24
1013451558 Courtney Adams Physician Assistant 19550 E 39th St S, Ste 410, Independence, MO 64057-2358 2016-12-16
1154878122 Long and Associates Pain Therapy Inc General Practice 19550 E 39th St S, Suite 235, Independence, MO 64057-2358 2016-09-07
1952755340 Christina Turner Nurse Practitioner 19550 E 39th St S, Suite 220, Independence, MO 64057-2358 2016-04-21
1417301615 Allyson Marie Williams Nurse Practitioner 19550 E 39th St S, Ste 410, Independence, MO 64057-2358 2016-04-14
1962860684 Melody L Alexander Nurse Practitioner 19550 E 39th St S, Suite 315, Independence, MO 64057-2358 2016-02-09
1124492608 Tracy Giese Nurse Practitioner 19550 E 39th St S, Suite 245, Independence, MO 64057-2358 2015-11-20
1356733638 Carma Elizabeth Curtin Nurse Practitioner 19550 E 39th St S, Suite 200, Independence, MO 64057-2303 2015-02-24
1508257544 Laboratory Corporation of America Holdings Clinical Medical Laboratory 19550 E 39th St S, Suite 100, Independence, MO 64057-2303 2015-02-12
1851706022 Leslie Peirce Registered Nurse 19550 E 39th St S, Suite 100, Independence, MO 64057-2358 2014-06-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174002364 Justine Barye Bolton Physical Therapist 2301 South 291 Highway, Independence, MO 64057 2018-08-09
1194230136 Brantley Vincent Niendick Occupational Therapist 2301 S M 291 Hwy, Independence, MO 64057 2017-12-13
1437693561 Derek Faulkner Counselor 2400 Little Blue Pkwy, Independence, MO 64057 2016-12-08
1578916136 Jared Donald Gerstenkorn Physical Therapist 2301 South Highway 291, Independence, MO 64057 2016-07-19
1295198182 Jennifer J. Willey Nurse Practitioner 2310 Castle Drive, Independence, MO 64057 2016-03-30
1750750808 Lisa Louise Freeman Physical Therapy Assistant 3980 S Jackson Dr, Independence, MO 64057 2015-09-18
1437543592 Harold Epps Specialist/Technologist 2301 South Mo 291 Highway, Independence, MO 64057 2015-03-26
1245620426 Holly Morgan Occupational Therapist 3980 S Jackson Dr., Independence, MO 64057 2015-01-27
1730598574 Lindsey Phelps Physical Therapist 2301 S Mo 291 Highway, Independence, MO 64057 2014-08-06
1093128159 Jennifer Falk Crumbaugh Dentist 3151 S. M-291 Highway, Suite A, Independence Mo, MO 64057 2014-06-06
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003054933 Cancer Center of Kansas, P.a. Internal Medicine 800 W Laurel St, Independence, KS 67301-3211 2009-01-30
1548225865 Catherine M Mccormick Internal Medicine 52579 Highway 51 S, Independence, LA 70443-2231 2006-04-19
1124091384 Robert L. Talley Internal Medicine 19550 E 39th St S, Ste 315, Independence, MO 64057-2303 2006-02-08
1124099684 Larry A. Rosen Internal Medicine 19550 E 39th St S, Ste 400, Independence, MO 64057-2303 2006-01-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871093690 St. Anthony's Physician Organization Internal Medicine 10012 Kennerly Rd Ste 102, Saint Louis, MO 63128-2197 2018-02-19
1295126670 Varun Modi Internal Medicine 3850 S National Ave Ste 520, Springfield, MO 65807 2015-02-06
1538564620 Bader Alahmari Internal Medicine 660 South Euclid Avenue Campus Box 8007, St Louis, MO 63110 2014-10-31
1235480708 James Michael Epstein Internal Medicine 12008 Heatherdane Dr, Saint Louis, MO 63131-3119 2012-09-25
1598095622 Kan Huang Internal Medicine 1 Hospital Dr # Dc116.71, Columbia, MO 65212-1402 2010-01-13
1477782092 Tamara V Hopkins, Md, LLC Internal Medicine 2009 Saint Marys Blvd Ste A, Jefferson City, MO 65109-1509 2009-07-02
1457591463 David Douglas Westhoff Internal Medicine 3605 Missouri Blvd, Jefferson City, MO 65109-7111 2009-03-03
1942456058 Anuj Shrestha Internal Medicine 2310 Holmes St Ste 500, Kansas City, MO 64108-2602 2008-08-09
1154580777 Skaggs Community Hospital Association Internal Medicine 525 Branson Landing Blvd Ste 101, Branson, MO 65616-2052 2008-06-09
1700071008 Shravan Kumar Narmala Internal Medicine 2055 S Fremont Ave Ste 1000, Springfield, MO 65804-2206 2007-09-10
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Competitor

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City INDEPENDENCE
Zip Code 64057

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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