ELAHEH MOSSAYEBI M.D.
NPI 1073045183
Student in an Organized Health Care Education/Training Program in Staten Island, NY

Active since March 29, 2017PECOS EnrolledAccepts Medicare Assignment
355 BARD AVE DEPT OF, 1ST FLOOR, STATEN ISLAND, NY 10310(718) 818-2419 Get Directions Write a Review

NPPES record last updated: November 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 22, 2021, Mar 29, 2017 (2 updates tracked since 2017).

About Elaheh Mossayebi M.d. NPPES

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

ELAHEH MOSSAYEBI M.D. (NPI 1073045183) is an individual student in an organized health care education/training program in Staten Island, New York and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1073045183
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELAHEH MOSSAYEBICredential: M.D.
Location Address355 BARD AVE DEPT OF, 1ST FLOORStaten Island, NY 10310-1664
Mailing Address355 Bard Ave Dept Of, 1st FloorStaten Island, NY 10310-1664 · (718) 818-2419
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMarch 29, 2017
Last NPPES UpdateNovember 22, 20212 updates tracked since enumeration
NPI 1073045183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
355 BARD AVE DEPT OF, Staten Island, NY 10310

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Elaheh Mossayebi M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193062214
PECOS Enrollment IDI20200911000560
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.

Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310
Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310
Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310
Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310
Psychiatry & Neurology (Psychiatry)
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310
Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310
Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310
Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310

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 Elaheh Mossayebi's NPI number?

The NPI number for Elaheh Mossayebi is 1073045183. It was assigned to this individual provider in the NPPES registry on March 29, 2017.

Where is Elaheh Mossayebi located?

Elaheh Mossayebi practices at 355 Bard Ave Dept Of 1st Floor, Staten Island, NY 10310. The listed phone number is (718) 818-2419.

What is Elaheh Mossayebi's specialty?

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

Is Elaheh Mossayebi enrolled in Medicare?

Yes. Elaheh Mossayebi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Elaheh Mossayebi was last updated on November 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.