JARED BEYERSDORF MD, PHD
NPI 1043977978
Student in an Organized Health Care Education/Training Program in Boston, MA

Q: What is Jared Beyersdorf's NPI number?

The NPI number for Jared Beyersdorf is 1043977978. It was assigned to this individual provider in the NPPES registry on November 28, 2021.

Q: What is Jared Beyersdorf's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jared Beyersdorf was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since November 28, 2021PECOS Enrolled

75 FRANCIS ST # 360H, BOSTON, MA 02115(617) 732-7510 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jared Beyersdorf Md, Phd NPPES

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

JARED BEYERSDORF MD, PHD (NPI 1043977978) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1043977978

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJARED BEYERSDORFCredential: MD, PHD

Location Address75 FRANCIS ST # 360HBoston, MA 02115-6106

Mailing Address100 Woodruff Cir NeAtlanta, GA 30322-1020 · (404) 727-5655

Phone(617) 732-7510

Sole ProprietorNo

Enumeration DateNovember 28, 2021

Last NPPES UpdateMarch 20, 2024

NPPES CertifiedMarch 20, 2024

✔ NPI 1043977978 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

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.

75 FRANCIS ST # 360H, Boston, MA 02115

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Secondary Practice Location 1

Location 1100 Woodruff Cir NEAtlanta, GA 30322-1020 · Phone (404) 727-5655

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jared Beyersdorf Md, Phd 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 7

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

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