AREZOU T REZAEIAN MD
NPI 1073156006
Student in an Organized Health Care Education/Training Program in Oak Ridge, TN

Q: What is Arezou Rezaeian's NPI number?

The NPI number for Arezou Rezaeian is 1073156006. It was assigned to this individual provider in the NPPES registry on October 22, 2019.

Q: What is Arezou Rezaeian'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 Arezou Rezaeian was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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 October 22, 2019PECOS Enrolled

200 NEW YORK AVE STE 150, OAK RIDGE, TN 37830(865) 835-5850(865) 374-1115 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Oct 22, 2019 (2 updates tracked since 2019).

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About Arezou T Rezaeian Md NPPES

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

AREZOU T REZAEIAN MD (NPI 1073156006) is an individual student in an organized health care education/training program in Oak Ridge, Tennessee and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073156006

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameAREZOU T REZAEIANCredential: MD

Location Address200 NEW YORK AVE STE 150Oak Ridge, TN 37830-5227

Mailing Address200 New York Ave Ste 150Oak Ridge, TN 37830-5227 · (865) 835-5850 · Fax (865) 374-1115

Phone(865) 835-5850

Fax(865) 374-1115

Sole ProprietorNo

Enumeration DateOctober 22, 2019

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2025

✔ NPI 1073156006 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.

200 NEW YORK AVE STE 150, Oak Ridge, TN 37830

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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)

Arezou T Rezaeian 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.

DR. USAMA SHAHBAZ MD

Family Medicine