HORMUZDIYAR HENRY DASENBROCK (MD) – Neurological Surgery Physician, NPI 1013155688

HORMUZDIYAR HENRY DASENBROCK (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in NEUROSURGERY. They hold the professional credentials MD. They hold a License No. 266595 (MA). The NPI Number for HORMUZDIYAR HENRY DASENBROCK (MD) is 1013155688

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
HORMUZDIYAR HENRY DASENBROCK (MD)
NPI
1013155688
Phone
Not provided
Address
720 HARRISON AVE # DOB503
Enumeration Date
4 February 2009
Last Update Date
5 June 2019

Doctor Profile

Medical School Name
JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6176388992
Graduation Year
2011 (15 years ago)
PAC ID
2860618089
Group Practice PAC ID
7618876798
Professional Enrollment ID
I20190710000504
Address ID
MA021183549BO725XXSTXX308
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

223 NEUROSURGERY in MA

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Provider Addresses for HORMUZDIYAR HENRY DASENBROCK (MD)

  • 720 HARRISON AVE # DOB503

    BOSTON, MA 021182371

    Phone:

    Type: Mailing

  • Shapiro Center, 725, Albany Street, South End, Boston, Suffolk County, Massachusetts, 02118, United States

    SHAPIRO 7, SUITE C

    BOSTON, MA 02118

    Phone: (617) 638-8992

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Imperative Care, Inc ($34).

Total Amount

$34

General + Research + Ownership

Payments

1

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Imperative Care, Inc$34
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-07-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190710000504INeurosurgeryMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes9031$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7434$0
99213Established patient office or other outpatient visit, 20-29 minutes6051$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2626$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2322$0
View full utilization report →

Insurance plans in this area (ZIP 02118)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618876798View full group profile
NameSpecialtyState
Physician AssistantMA
Nurse PractitionerMA
Nurse PractitionerMA
Physician AssistantMA
N E U R O S U R G E R YMA
Physician AssistantNY
N E U R O S U R G E R YPA
Nurse PractitionerMA
N E U R O S U R G E R YMA
N E U R O S U R G E R YMA

Reviews

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Frequently asked questions

Is HORMUZDIYAR HENRY DASENBROCK (MD) listed with a National Provider Identifier?
Yes — HORMUZDIYAR HENRY DASENBROCK (MD) has NPI 1013155688 on file in the registry.
Would HORMUZDIYAR HENRY DASENBROCK (MD) appear as active to a payer?
You can treat HORMUZDIYAR HENRY DASENBROCK (MD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe HORMUZDIYAR HENRY DASENBROCK (MD)'s focus?
For HORMUZDIYAR HENRY DASENBROCK (MD), the primary taxonomy reads as Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
Is HORMUZDIYAR HENRY DASENBROCK (MD) associated with Boston?
Public fields place HORMUZDIYAR HENRY DASENBROCK (MD) around Boston, Massachusetts. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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