NPI Details
DR. Ali Mortazavi, D.O. is an orthopaedic surgery in Austell, GA with 28 years of experience. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. DR. Ali Mortazavi, D.O. NPI is 1609863802. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduation Year:1998
The provider's business location address is:
2041 MESA VALLEY WAY
SUITE 100
AUSTELL, GA
ZIP 30106-157
Phone: (770) 944-1100
Fax: (770) 944-6469
The NPI 1609863802 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- X-ray of pelvis, 1-2 views (HCPCS:72170)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Mri scan of lower spinal canal without contrast (HCPCS:72148)
- Mri scan of upper spinal canal without contrast (HCPCS:72141)
- X-ray of upper spine, 2-3 views (HCPCS:72040)
- Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
- Injection of trigger points, 1-2 muscles (HCPCS:20552)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- X-ray of middle spine, 2 views (HCPCS:72070)
- Fusion of spine in lower back (HCPCS:22612)
- Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
- Fusion of additional segment of spine (HCPCS:22614)
- Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
- Spinal fusion (HCPCS:NAN02)
- Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
- Laminectomy or laminotomy (partial removal of spine bones) (HCPCS:NAN18)
The enumeration date for this NPI number is 10/3/2005 and was last updated on 10/24/2016.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207X00000X | Orthopaedic Surgery | | 054865 | GEORGIA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 20NCCFL | MEDICARE PIN | GEORGIA | |
| 2 | I10357 | MEDICARE UPIN | GEORGIA | |
| 3 | 234083867E | MEDICAID | GEORGIA | |
| 4 | 234083867C | MEDICAID | GEORGIA | |
| 5 | 234083867B | MEDICAID | GEORGIA | |
| 6 | 234083867A | MEDICAID | GEORGIA | |
