DR. ADEL BOZORGZADEH (MD) – Surgery Physician, NPI 1083640825

DR. ADEL BOZORGZADEH (MD) is a healthcare provider. based in Worcester, Massachusetts. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 238379 (MA). The NPI Number for DR. ADEL BOZORGZADEH (MD) is 1083640825

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. ADEL BOZORGZADEH (MD)
NPI
1083640825
Phone
(508) 334-2023
Address
55 LAKE AVE N
Enumeration Date
23 June 2006
Last Update Date
2 January 2025

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3073879850
Graduation Year
1991 (35 years ago)
PAC ID
9133137466
Group Practice PAC ID
1153706346
Professional Enrollment ID
I20241220001241
Address ID
WY827189330GI469XX50XX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,028 GENERAL SURGERY in MA

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Provider Addresses for DR. ADEL BOZORGZADEH (MD)

  • UMASS Memorial Medical Center University Campus Hospital, 55, Lake Avenue North, Worcester, Worcester County, Massachusetts, 01653, United States

    WORCESTER, MA 016550002

    Phone: (508) 334-2023

    Fax: (508) 856-1102

    Type: Location

  • PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States

    BOSTON, MA 022415348

    Phone: (800) 225-8885

    Fax: (508) 334-1977

    Type: Mailing

  • 46 CONNELLY HILL RD

    HOPKINTON, MA 017482581

    Phone:

    Type: Mailing

  • 201 W LAKEWAY RD STE 1004

    GILLETTE, WY 827186349

    Phone: (307) 387-9850

    Fax: (307) 387-9890

    Type: Mailing

  • 469 HIGHWAY 50

    GILLETTE, WY 827189330

    Phone: (307) 387-9850

    Fax: (307) 387-9890

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-12-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20081209000103IGeneral SurgeryMATBD
I20241220001241IGeneral SurgeryWYTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4422$0
View full utilization report →

Insurance plans in this area (ZIP 01655)

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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: 1153706346View full group profile
NameSpecialtyState
Internal Medicine, Endocrinology, Internal MedicineTX
Emergency MedicineCO
Family PracticeWY
P S Y C H I A T R YWA
D E R M A T O L O G YVT
Registered Dietitian Or Nutrition ProfessionalWY
N E U R O L O G YNE
Internal MedicineCO
Family Practice, Geriatric MedicineWY
Emergency Medicine, Family PracticeNC

Reviews

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Frequently asked questions

Can I verify DR. ADEL BOZORGZADEH (MD) with an NPI only?
You can start verification with NPI 1083640825 for DR. ADEL BOZORGZADEH (MD), then check state licensing separately.
Is DR. ADEL BOZORGZADEH (MD) still practicing?
DR. ADEL BOZORGZADEH (MD) is currently listed as active in the public NPI registry.
What is DR. ADEL BOZORGZADEH (MD) best known for clinically?
Directory data describes DR. ADEL BOZORGZADEH (MD) with Surgery Physician. Clinical services aligned with this taxonomy classification.
Does DR. ADEL BOZORGZADEH (MD) list a practice location?
Patients near Worcester, Massachusetts may find DR. ADEL BOZORGZADEH (MD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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