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DR. TEENA PERVAIZ MD
NPI 1053939116
Student in an Organized Health Care Education/Training Program in Fargo, ND

Active since July 06, 2020PECOS Enrolled
1919 ELM ST N, FARGO, ND 58102(701) 293-4109 Get Directions Write a Review

NPPES record last updated: July 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 28, 2023, Jul 6, 2020 (2 updates tracked since 2020).

About Dr. Teena Pervaiz Md NPPES

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

DR. TEENA PERVAIZ MD (NPI 1053939116) is an individual student in an organized health care education/training program in Fargo, North Dakota, licensed in Texas (BP10085208) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053939116
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. TEENA PERVAIZCredential: MD
Location Address1919 ELM ST NFargo, ND 58102-2416
Mailing Address1919 Elm St NFargo, ND 58102-2416 · (701) 293-4109
Phone(701) 293-4109
Sole ProprietorNo
Enumeration DateJuly 6, 2020
Last NPPES UpdateJuly 28, 20232 updates tracked since enumeration
NPPES CertifiedJuly 28, 2023
✔ NPI 1053939116 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 TX · BP10085208
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.
1919 ELM ST N, Fargo, ND 58102
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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. Teena Pervaiz 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.

JOSHUA WILKE MD
Student in an Organized Health Care Education/Training Program
1919 ELM ST N
FARGO, ND 58102
Cass County (701) 293-4113
HECTOR CABALLERO MD
Student in an Organized Health Care Education/Training Program
1919 ELM ST N
FARGO, ND 58102
Cass County (813) 352-8003
KYLE CLEASBY
Student in an Organized Health Care Education/Training Program
1919 ELM ST N
FARGO, ND 58102
Cass County (701) 293-4113
SAMUEL GEIGER TESCH MD
Student in an Organized Health Care Education/Training Program
1919 ELM ST N
FARGO, ND 58102
Cass County (701) 294-4113
AARON HIGGINS MD
Student in an Organized Health Care Education/Training Program
1919 ELM ST N
FARGO, ND 58102
Cass County (701) 293-4113
DR. SUSHIL KUMAR SOMPUR VASANTHKUMAR M.D.
Psychiatry & Neurology (Psychiatry)
1919 ELM ST N, DEPARTMENT OF CLINICAL NEUROSCIENCE
FARGO, ND 58102
Cass County (701) 293-4101
DR. SAVANNAH LAURENT SEITER MD
Student in an Organized Health Care Education/Training Program
1919 ELM ST N
FARGO, ND 58102
Cass County (701) 293-4113
DR. LUKE THOMAS MIKE DO
Student in an Organized Health Care Education/Training Program
1919 ELM ST N
FARGO, ND 58102
Cass County (701) 293-4113

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 Teena Pervaiz's NPI number?

The NPI number for Teena Pervaiz is 1053939116. It was assigned to this individual provider in the NPPES registry on July 6, 2020.

Where is Teena Pervaiz located?

Teena Pervaiz practices at 1919 Elm St N, Fargo, ND 58102. The listed phone number is (701) 293-4109.

What is Teena Pervaiz's specialty?

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

Is Teena Pervaiz enrolled in Medicare?

Yes. Teena Pervaiz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Teena Pervaiz was last updated on July 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.