DR. MEENA MOOSSAVI (M.D.) – Dermatology Physician, NPI 1982716114

DR. MEENA MOOSSAVI (M.D.) is a healthcare provider. based in Livonia, Michigan. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 4301076341 (MI). The NPI Number for DR. MEENA MOOSSAVI (M.D.) is 1982716114

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. MEENA MOOSSAVI (M.D.)
NPI
1982716114
Phone
(734) 542-8100
Address
14801 FARMINGTON RD
Enumeration Date
1 September 2006
Last Update Date
9 December 2011

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
3137458040
Graduation Year
1997 (29 years ago)
PAC ID
5597664490
Group Practice PAC ID
8628087681
Professional Enrollment ID
I20040108000499
Address ID
MI482012018DE3990XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

532 DERMATOLOGY in MI

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Provider Addresses for DR. MEENA MOOSSAVI (M.D.)

  • Farmington Road, Livonia, Wayne County, Michigan, 48154, United States

    LIVONIA, MI 48154

    Phone: (734) 542-8100

    Fax: (734) 542-8168

    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 17 Open Payments records for all available years, with a total value of $386.

Total Amount is formed as General ($386) + Research ($0) + Ownership ($0) = $386.

Last reported payment date: 2024-11-05 • Largest payer in this snapshot: ABBVIE INC. ($51).

Total Amount

$386

General + Research + Ownership

Payments

17

Total payment records

General Amount

$386

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-05

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: 2004-01-08

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
I20040108000499IDermatologyMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48154)

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Provider's Procedures

DR. MEENA MOOSSAVI (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYMI17003Destruction of 2-14 skin growths20034

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: 8628087681View full group profile
NameSpecialtyState
-MI
Nurse PractitionerMI
Cardiovascular Disease (Cardiology)MI
H O S P I T A L I S TMI
-MI
Pulmonary Disease, Internal Medicine, Critical Care (Intensivists)MI
Internal Medicine, Infectious DiseaseMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Pulmonary Disease, Critical Care (Intensivists)MI
O P H T H A L M O L O G YPA

Reviews

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Frequently asked questions

Can I cross-check DR. MEENA MOOSSAVI (M.D.) using NPI 1982716114?
NPI 1982716114 belongs to DR. MEENA MOOSSAVI (M.D.); compare other details if you need extra assurance.
Would DR. MEENA MOOSSAVI (M.D.) appear as active to a payer?
You can treat DR. MEENA MOOSSAVI (M.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. MEENA MOOSSAVI (M.D.)?
At a glance, DR. MEENA MOOSSAVI (M.D.) is tied to Dermatology Physician. Clinical services aligned with this taxonomy classification.
Is DR. MEENA MOOSSAVI (M.D.) associated with Livonia?
Public fields place DR. MEENA MOOSSAVI (M.D.) around Livonia, Michigan. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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