Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mohammad Amin Khoshnevisan, DMD

Individual provider Dentist · NPI 1114308855

Dr. Mohammad Amin Khoshnevisan, DMD practises Oral Surgery in New York, New York. Graduated from Western University of Health Sciences College of Dental Med in 2015, 11 years ago. Practices with Trustees of Columbia University in the City of New York, a 2,250-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois, New York, Ohio and Pennsylvania.

Years since qualifying
11
Trained at
Western University of Health Sciences College of Dental Med
Licensed in
IL, NY, OH, PA
In the registry since
2015
Specialties on file
4
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

630 W 168th St Rm 250
New York, NY 10032-3725
Phone: (212) 342-0424
Fax: (212) 305-9017
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6218 Glenway Ave, Cincinnati, OH 45211-6314 — (513) 245-8460
  • 1732 S Broad St, Philadelphia, PA 19145-2330 — (301) 801-3998

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 062474 (NY)
Dentist Taxonomy 122300000X · Licence 30.026201 (OH)
Dentist Taxonomy 122300000X · Licence DS042004 (PA)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 018001949 (IL)

Record details

NPI number1114308855
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 17, 2015
Last updated in NPPESAugust 1, 2022
Certification dateAugust 1, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolWESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Graduated 2015 (11 years in practice)
Group practice Trustees Of Columbia University In The City Of New York — 2250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients40
Services billed 65 a service is one billed item, such as a visit, a test or a procedure
Average patient age71

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $172 1 payment · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Trustees of Columbia University in the City of New York

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 2250 clinicians in the practice; 12 are shown here.

Other providers in New York