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KIAN POURAK
NPI 1053011676
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since March 03, 2023PECOS Enrolled
1 BARNES JEW HOSP PLZ, SAINT LOUIS, MO 63110(314) 362-7388 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 14, 2024, Mar 3, 2023 (2 updates tracked since 2023).

About Kian Pourak NPPES

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

KIAN POURAK (NPI 1053011676) is an individual student in an organized health care education/training program in Saint Louis, Missouri, licensed in Missouri (2024018873) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Ann Arbor.

NPPES Registry Identity

NPI1053011676
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKIAN POURAK
Location Address1 BARNES JEW HOSP PLZSaint Louis, MO 63110-1003
Mailing Address4921 Parkview Pl # 6gSaint Louis, MO 63110-1032
Phone(314) 362-7388
Sole ProprietorYes
Enumeration DateMarch 3, 2023
Last NPPES UpdateJune 14, 20242 updates tracked since enumeration
NPPES CertifiedJune 14, 2024
✔ NPI 1053011676 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 · 2024018873
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 JEW HOSP PLZ, Saint Louis, MO 63110
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Secondary Practice Location 1

Location 11500 E Medical Center DrAnn Arbor, MI 48109-5000 · Phone (734) 936-4000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kian Pourak 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.

ALESSIO JOSEPH BEFFA MD
Pathology (Anatomic Pathology & Clinical Pathology)
1 BARNES JEW HOSP PLZ
SAINT LOUIS, MO 63110
St. Louis City (314) 362-7440
JOHN VERHEY MD
Emergency Medicine
1 BARNES JEW HOSP PLZ
SAINT LOUIS, MO 63110
St. Louis City (314) 362-9177
DR. MACKENZIE ANN MCKNIGHT MD
Emergency Medicine
1 BARNES JEW HOSP PLZ
SAINT LOUIS, MO 63110
St. Louis City (314) 362-9177
JOHN WILSON MD
Internal Medicine
1 BARNES JEW HOSP PLZ
SAINT LOUIS, MO 63110
St. Louis City (314) 747-3000
DR. LINDSAY MARIE BRUCE MD
Student in an Organized Health Care Education/Training Program
1 BARNES JEW HOSP PLZ
SAINT LOUIS, MO 63110
St. Louis City (314) 747-3000
JANE YUJING WANG MD
Internal Medicine
1 BARNES JEW HOSP PLZ
SAINT LOUIS, MO 63110
St. Louis City (314) 362-5000
DR. AISHWARYA VIJAY MD
Internal Medicine (Cardiovascular Disease)
1 BARNES JEW HOSP PLZ
SAINT LOUIS, MO 63110
St. Louis City (312) 926-2000
DR. JACOB TAYLOR STEINLE MD
Psychiatry & Neurology (Psychiatry)
1 BARNES JEW HOSP PLZ
SAINT LOUIS, MO 63110
St. Louis City (314) 362-2462

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 Kian Pourak's NPI number?

The NPI number for Kian Pourak is 1053011676. It was assigned to this individual provider in the NPPES registry on March 3, 2023.

Where is Kian Pourak located?

Kian Pourak practices at 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110. The listed phone number is (314) 362-7388.

What is Kian Pourak's specialty?

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

Is Kian Pourak enrolled in Medicare?

Yes. Kian Pourak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kian Pourak was last updated on June 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.