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DR. REZA JAZAYERI M.D.
NPI 1114117454
Student in an Organized Health Care Education/Training Program in New York, NY

Active since August 01, 2007PECOS EnrolledAccepts Medicare Assignment
301 E 17TH ST, HOSP FOR JOINT DISEASES, NEW YORK, NY 10003(917) 482-2204 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Reza Jazayeri M.d. NPPES

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

DR. REZA JAZAYERI M.D. (NPI 1114117454) is an individual student in an organized health care education/training program in New York, New York, licensed in New York (60 243041) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2004).

NPPES Registry Identity

NPI1114117454
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. REZA JAZAYERICredential: M.D.
Location Address301 E 17TH ST, HOSP FOR JOINT DISEASESNew York, NY 10003-3804
Mailing Address301 E 17th St, Hosp For Joint DiseasesNew York, NY 10003-3804 · (917) 482-2204
Phone(917) 482-2204
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2004
Enumeration DateAugust 1, 2007
Last NPPES UpdateDecember 6, 2021
✔ NPI 1114117454 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 NY · 60 243041
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.
301 E 17TH ST, New York, NY 10003
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Reza Jazayeri 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 ID5496949786
PECOS Enrollment IDI20101101000398
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.

Medicare Billing Reassignment

Medicare enrollment records show Reza Jazayeri reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
2,428 mi
Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1225060742 (619) 528-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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. CHRISTOPHER MICHAEL PETRILLI MD
Hospitalist
301 E 17TH ST
NEW YORK, NY 10003
New York County (212) 598-6531
JENNA SNYDER
Occupational Therapist
301 E 17TH ST
NEW YORK, NY 10003
New York County (212) 598-6000
CHRISTINE JEONG OTD, OTR/L, CSRS
Occupational Therapist
301 E 17TH ST
NEW YORK, NY 10003
New York County (212) 598-6558
LOUIS DIZON MD
Physical Medicine & Rehabilitation
301 E 17TH ST
NEW YORK, NY 10003
New York County (212) 598-6351
THERESA TENN RPH
Pharmacist
301 E 17TH ST
NEW YORK, NY 10003
New York County (212) 598-6713
MS. VICTORIA ROSE LARGO LCSW
Specialist
301 E 17TH ST
NEW YORK, NY 10003
New York County (347) 989-7115
HJD DIABETIC FOOT & ANKLE CTR
Podiatrist (Primary Podiatric Medicine)
301 E 17TH ST, 10TH FLOOR
NEW YORK, NY 10003
New York County (212) 460-0110
MRS. SONAL THAKKER FNP-C
Nurse Practitioner (Family)
301 E 17TH ST, NURSING OFFICE
NEW YORK, NY 10003
New York County (212) 598-7674

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 Reza Jazayeri's NPI number?

The NPI number for Reza Jazayeri is 1114117454. It was assigned to this individual provider in the NPPES registry on August 1, 2007.

Where is Reza Jazayeri located?

Reza Jazayeri practices at 301 E 17th St Hosp For Joint Diseases, New York, NY 10003. The listed phone number is (917) 482-2204.

What is Reza Jazayeri's specialty?

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

Is Reza Jazayeri enrolled in Medicare?

Yes. Reza Jazayeri 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.

Which organization bills Medicare for Reza Jazayeri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Reza Jazayeri reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Reza Jazayeri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Reza Jazayeri was last updated on December 6, 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.