DR. ARIANNE KOUROSH (MD) – Dermatology Physician, NPI 1417181801

DR. ARIANNE KOUROSH (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 254198 (MA). The NPI Number for DR. ARIANNE KOUROSH (MD) is 1417181801

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. ARIANNE KOUROSH (MD)
NPI
1417181801
Phone
(617) 726-2914
Address
50 STANIFORD ST # S0-2
Enumeration Date
13 May 2009
Last Update Date
8 May 2013

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
5088258100
Graduation Year
2009 (17 years ago)
PAC ID
1557503984
Group Practice PAC ID
1759357601
Professional Enrollment ID
I20130814000105
Address ID
MA025542799NA57XXXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:17State licenses:1Digital endpointsOther names

744 DERMATOLOGY in MA

Provider Addresses for DR. ARIANNE KOUROSH (MD)

  • 50 STANIFORD ST # S0-2

    BOSTON

    BOSTON, MA 021142517

    Phone: (617) 726-2914

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $7,252.

Total Amount is formed as General ($7,252) + Research ($0) + Ownership ($0) = $7,252.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: ABBVIE INC. ($6,769).

Total Amount

$7,252

General + Research + Ownership

Payments

12

Total payment records

General Amount

$7,252

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2013-08-14

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
I20130814000105IDermatologyMATBD

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
17003Destruction of precancer skin growth, 2-14 growths51681$0
99213Established patient office or other outpatient visit, 20-29 minutes426259$0
17000Destruction of precancer skin growth, 1 growth155109$0
17110Destruction of skin growth, 1-14 growths6655$0
17004Destruction of precancer skin growth, 15 or more growths1511$0
View full utilization report →

Insurance plans in this area (ZIP 02114)

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Provider's Procedures

DR. ARIANNE KOUROSH (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYMA17003Destruction of 2-14 skin growths439113

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: 1759357601View full group profile
NameSpecialtyState
-RI
Endocrinology, Internal MedicineMA
Family PracticeRI
O B S T E T R I C S/ G Y N E C O L O G YMA
Family Practice, Emergency Medicine, HospitalistMI
Physician AssistantMA
Emergency MedicineMA
Nurse PractitionerMA
Nurse PractitionerPA
O B S T E T R I C S/ G Y N E C O L O G YMA

Reviews

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Frequently asked questions

What NPI should I save for DR. ARIANNE KOUROSH (MD)?
Save NPI 1417181801 if you need a stable reference for DR. ARIANNE KOUROSH (MD).
Does this profile mean DR. ARIANNE KOUROSH (MD) is currently active?
Yes — DR. ARIANNE KOUROSH (MD) appears active in the national provider directory.
Does DR. ARIANNE KOUROSH (MD) list a primary specialty?
If you are matching referrals, note Dermatology Physician for DR. ARIANNE KOUROSH (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. ARIANNE KOUROSH (MD)?
The page summarizes Boston, Massachusetts for DR. ARIANNE KOUROSH (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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