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SAMIRA KOUCHAKZADEH MD
NPI 1104396175
Student in an Organized Health Care Education/Training Program in Pittsburgh, PA

Active since December 03, 2018PECOS Enrolled
3811 OHARA ST, PITTSBURGH, PA 15213(412) 246-5320 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samira Kouchakzadeh Md NPPES

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

SAMIRA KOUCHAKZADEH MD (NPI 1104396175) is an individual student in an organized health care education/training program in Pittsburgh, Pennsylvania and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104396175
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSAMIRA KOUCHAKZADEHCredential: MD
Location Address3811 OHARA STPittsburgh, PA 15213-2561
Mailing Address3600 Forbes Avenue, Forbes Tower- Plaza Level Suite 140Pittsburgh, PA 15213 · (412) 647-6340
Phone(412) 246-5320
Sole ProprietorNo
Enumeration DateDecember 3, 2018
Last NPPES UpdateMay 23, 2024
NPPES CertifiedMay 23, 2024
✔ NPI 1104396175 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.
3811 OHARA ST, Pittsburgh, PA 15213
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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)

Samira Kouchakzadeh 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. TIFFANY JEAN REID PHARMD
Pharmacist
3811 OHARA ST
PITTSBURGH, PA 15213
Allegheny County (412) 246-6100
MS. KATHERINE MARIE KNORR MSW
Social Worker (Clinical)
3811 OHARA ST
PITTSBURGH, PA 15213
Allegheny County (412) 235-5445
KIMBERLY CLINEBELL
Psychiatry & Neurology (Psychiatry)
3811 OHARA ST
PITTSBURGH, PA 15213
Allegheny County (412) 624-2100
DR. HAROLD ALAN PINCUS MD
Specialist
3811 OHARA ST, SUITE 1135-E
PITTSBURGH, PA 15213
Allegheny County (412) 624-1000
EMIL IVANOV MD
Psychiatry & Neurology (Psychiatry)
3811 OHARA ST
PITTSBURGH, PA 15213
Allegheny County (412) 246-6801
DEBRA E. BODELL
Counselor (Mental Health)
3811 OHARA ST
PITTSBURGH, PA 15213
Allegheny County (412) 246-6262
SEAN BERNARD COLGAN
Counselor (Mental Health)
3811 OHARA ST
PITTSBURGH, PA 15213
Allegheny County (412) 624-1000
UTOPIA ANDERSON
Counselor (Addiction (Substance Use Disorder))
3811 OHARA ST
PITTSBURGH, PA 15213
Allegheny County (412) 864-5300

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 Samira Kouchakzadeh's NPI number?

The NPI number for Samira Kouchakzadeh is 1104396175. It was assigned to this individual provider in the NPPES registry on December 3, 2018.

Where is Samira Kouchakzadeh located?

Samira Kouchakzadeh practices at 3811 Ohara St, Pittsburgh, PA 15213. The listed phone number is (412) 246-5320.

What is Samira Kouchakzadeh's specialty?

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

Is Samira Kouchakzadeh enrolled in Medicare?

Yes. Samira Kouchakzadeh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samira Kouchakzadeh was last updated on May 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.