FERESHTEH BOOZARJOMEHRI (MD) – Maternal & Fetal Medicine Physician, NPI 1083689921

FERESHTEH BOOZARJOMEHRI (MD) is a healthcare provider. based in Danville, Pennsylvania. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 187048 (NY). The NPI Number for FERESHTEH BOOZARJOMEHRI (MD) is 1083689921

Main info

Female
45 Years Of Experience
Accepts Medicare Assignment
Name
FERESHTEH BOOZARJOMEHRI (MD)
NPI
1083689921
Phone
(570) 271-6144
Address
100 N ACADEMY AVE
Enumeration Date
22 February 2006
Last Update Date
11 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7327458600
Graduation Year
1981 (45 years ago)
PAC ID
8224070503
Group Practice PAC ID
9931012382
Professional Enrollment ID
I20050526000344
Address ID
NJ089011766NE254XXAVEX300

Contacts

Secure Messaging
fboozarjomehri178371@direct.geisinger.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness85
Years active:20State licenses:3Other namesUpdated within 12 months

2,146 OBSTETRICS/GYNECOLOGY in PA

Provider Addresses for FERESHTEH BOOZARJOMEHRI (MD)

  • Geisinger Medical Center Danville, 100, North Academy Avenue, Danville, Montour County, Pennsylvania, 17822, United States

    DANVILLE, PA 178224903

    Phone: (570) 271-6144

    Fax: (570) 271-6578

    Type: Mailing

  • 190 WELLES ST STE 112-114

    KINGSTON, PA 187044968

    Phone: (570) 714-1099

    Fax: (570) 714-1116

    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: 2018-09-17

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
I20050526000344IObstetrics/GynecologyNJTBD
I20180917000175IObstetrics/GynecologyPATBD

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 17822)

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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: 9931012382View full group profile
NameSpecialtyState
Internal Medicine, Pediatric MedicineNJ
Internal MedicineNJ
Pulmonary Disease, Critical Care (Intensivists)NJ
-NJ
-NJ
-NJ
Internal MedicineNJ
Cardiovascular Disease (Cardiology), Internal MedicineNJ
Nurse PractitionerNJ
-NJ

Reviews

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Frequently asked questions

What is the 10-digit NPI for FERESHTEH BOOZARJOMEHRI (MD)?
FERESHTEH BOOZARJOMEHRI (MD) — NPI 1083689921 — is the standard way to identify this listing.
Does CMS list FERESHTEH BOOZARJOMEHRI (MD) as active?
Yes — FERESHTEH BOOZARJOMEHRI (MD) is active in the NPI listing used on this page.
What healthcare role does FERESHTEH BOOZARJOMEHRI (MD) hold?
Scheduling teams often label FERESHTEH BOOZARJOMEHRI (MD) under Maternal & Fetal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does FERESHTEH BOOZARJOMEHRI (MD) list a practice location?
Patients near Danville, Pennsylvania may find FERESHTEH BOOZARJOMEHRI (MD) in results; validate coverage separately.
Why does FERESHTEH BOOZARJOMEHRI (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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