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DR. EHSAN FAYAZZADEH MD
NPI 1033798236
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since April 05, 2021PECOS Enrolled
1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 63110(855) 723-3723 Get Directions Write a Review

NPPES record last updated: July 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2022, Apr 5, 2021 (2 updates tracked since 2021).

About Dr. Ehsan Fayazzadeh Md NPPES

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

DR. EHSAN FAYAZZADEH MD (NPI 1033798236) is an individual student in an organized health care education/training program in Saint Louis, Missouri, licensed in Missouri (2026028666) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1033798236
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. EHSAN FAYAZZADEHCredential: MD
Location Address1 BARNES JEWISH HOSPITAL PLZSaint Louis, MO 63110-1003
Mailing Address510 S Kingshighway Blvd, Campus Box 8131-19-01Saint Louis, MO 63110-1076 · (314) 362-2819 · Fax (314) 747-4671
Phone(855) 723-3723
Sole ProprietorNo
Enumeration DateApril 5, 2021
Last NPPES UpdateJuly 3, 20262 updates tracked since enumeration
NPPES CertifiedJuly 3, 2026
✔ NPI 1033798236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MO · 2026028666
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.
1 BARNES JEWISH HOSPITAL PLZ, Saint Louis, MO 63110
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Secondary Practice Location 1

Location 11 Childrens PlSaint Louis, MO 63110-1081 · Phone (855) 723-3723

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ehsan Fayazzadeh 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.

DR. MARGARET LEIGHTON MCNAIRY MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
ANNA RABINOV ANNA RABINOV
Obstetrics & Gynecology
1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
St. Louis City (314) 747-3000
MRS. MICHELLE MARIE BLOOM ACNP
Nurse Practitioner (Acute Care)
1 BARNES JEWISH HOSPITAL PLZ, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (800) 862-9980
DR. FARIS ADAM BAKEER MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
DR. REHAN RAIS MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
DR. RANDY OLIVIER LAINE MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
DR. BRADLEY SETH KUSHNER MD
Surgery
1 BARNES JEWISH HOSPITAL PLZ, DIV SURG VASCULAR
SAINT LOUIS, MO 63110
St. Louis City (314) 273-7373
MS. KELSEY ELISE FOGUS CRNA
Nurse Anesthetist, Certified Registered
1 BARNES JEWISH HOSPITAL PLZ, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (800) 862-9980

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 Ehsan Fayazzadeh's NPI number?

The NPI number for Ehsan Fayazzadeh is 1033798236. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Where is Ehsan Fayazzadeh located?

Ehsan Fayazzadeh practices at 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110. The listed phone number is (855) 723-3723.

What is Ehsan Fayazzadeh's specialty?

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

Is Ehsan Fayazzadeh enrolled in Medicare?

Yes. Ehsan Fayazzadeh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ehsan Fayazzadeh was last updated on July 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.