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AZADEH KHAYYAT
NPI 1063162675
Student in an Organized Health Care Education/Training Program in Milwaukee, WI

Active since March 26, 2022PECOS Enrolled
9200 W WISCONSIN AVE STE L83, MILWAUKEE, WI 53226(414) 805-8576 Get Directions Write a Review

NPPES record last updated: March 26, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Azadeh Khayyat NPPES

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

AZADEH KHAYYAT (NPI 1063162675) is an individual student in an organized health care education/training program in Milwaukee, Wisconsin and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063162675
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAZADEH KHAYYAT
Location Address9200 W WISCONSIN AVE STE L83Milwaukee, WI 53226-3522
Mailing Address9200 W Wisconsin Ave Ste L83Milwaukee, WI 53226-3522 · (414) 805-8576
Phone(414) 805-8576
Sole ProprietorNo
Enumeration DateMarch 26, 2022
NPPES CertifiedMarch 26, 2022
✔ NPI 1063162675 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.

9200 W WISCONSIN AVE STE L83, Milwaukee, WI 53226
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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)

Azadeh Khayyat 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

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

ANDRII PUZYRENKO MD, PHD
Pathology (Anatomic Pathology & Clinical Pathology)
9200 W WISCONSIN AVE STE L83
MILWAUKEE, WI 53226
Milwaukee County (414) 805-8576

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 Azadeh Khayyat's NPI number?

The NPI number for Azadeh Khayyat is 1063162675. It was assigned to this individual provider in the NPPES registry on March 26, 2022.

Where is Azadeh Khayyat located?

Azadeh Khayyat practices at 9200 W Wisconsin Ave Ste L83, Milwaukee, WI 53226. The listed phone number is (414) 805-8576.

What is Azadeh Khayyat's specialty?

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

Is Azadeh Khayyat enrolled in Medicare?

Yes. Azadeh Khayyat is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Azadeh Khayyat was last updated on March 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.