AZRAA SAMIN AYESHA MD
NPI 1013616085
Student in an Organized Health Care Education/Training Program in Salt Lake City, UT

Active since February 28, 2023PECOS Enrolled
27 S MARIO CAPECCHI DR, SALT LAKE CITY, UT 84112(801) 581-2121 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 3, 2025, Feb 28, 2023 (2 updates tracked since 2023).

About Azraa Samin Ayesha Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AZRAA SAMIN AYESHA MD (NPI 1013616085) is an individual student in an organized health care education/training program in Salt Lake City, Utah and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Roanoke.

NPPES Registry Identity

NPI1013616085
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAZRAA SAMIN AYESHACredential: MD
Location Address27 S MARIO CAPECCHI DRSalt Lake City, UT 84112-5888
Mailing Address27 S Mario Capecchi DrSalt Lake City, UT 84112-5888
Sole ProprietorNo
Enumeration DateFebruary 28, 2023
Last NPPES UpdateApril 3, 20252 updates tracked since enumeration
NPPES CertifiedApril 3, 2025
NPI 1013616085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

27 S MARIO CAPECCHI DR, Salt Lake City, UT 84112

Secondary Practice Location 1

Location 11906 Belleview Ave SERoanoke, VA 24014-1838 · Phone (540) 981-7000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Azraa Samin Ayesha Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112
Student in an Organized Health Care Education/Training Program
27 S MARIO CAPECCHI DR
SLC, UT 84112
Student in an Organized Health Care Education/Training Program
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112
Student in an Organized Health Care Education/Training Program
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112
Student in an Organized Health Care Education/Training Program
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112
Student in an Organized Health Care Education/Training Program
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112
Student in an Organized Health Care Education/Training Program
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112
Student in an Organized Health Care Education/Training Program
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Azraa Ayesha's NPI number?

The NPI number for Azraa Ayesha is 1013616085. It was assigned to this individual provider in the NPPES registry on February 28, 2023.

Where is Azraa Ayesha located?

Azraa Ayesha practices at 27 S Mario Capecchi Dr, Salt Lake City, UT 84112. The listed phone number is (801) 581-2121.

What is Azraa Ayesha's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Azraa Ayesha enrolled in Medicare?

Yes. Azraa Ayesha is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Azraa Ayesha was last updated on April 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.