Fereydoon Mahjouri, M.D.
NPI 1710095419 · Specialist · Fridley, MN
Enrolled with Medicare as Practitioner - Plastic and Reconstructive Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fereydoon Mahjouri, M.D. is a Specialist provider in Fridley, MN (NPI 1710095419).
Provider details
- NPI number
- 1710095419
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 23415 (MN)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-25
- Last updated
- 2007-07-08
Frequently asked questions
- What is Fereydoon Mahjouri's NPI number?
- Fereydoon Mahjouri's National Provider Identifier (NPI) is 1710095419, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Fereydoon Mahjouri's specialty?
- Fereydoon Mahjouri is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Fereydoon Mahjouri located?
- Fereydoon Mahjouri's practice location on file with NPPES is 500 Osborne Rd Ne, Fridley, MN 55432-2765.
- What is Fereydoon Mahjouri's phone number?
- The practice phone number listed in the NPPES registry for Fereydoon Mahjouri is (763) 780-2770.
- Does Fereydoon Mahjouri accept Medicare?
- Fereydoon Mahjouri is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Fereydoon Mahjouri's NPI active?
- Yes — Fereydoon Mahjouri's NPI (1710095419) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.