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MISS MARIAM TEIMORZADEH D.O
NPI 1134581754
Student in an Organized Health Care Education/Training Program in Clinton Township, MI

Active since March 23, 2016PECOS EnrolledAccepts Medicare Assignment
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038(586) 263-2952 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2021, Mar 23, 2016 (2 updates tracked since 2016).

About Miss Mariam Teimorzadeh D.o NPPES

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

MISS MARIAM TEIMORZADEH D.O (NPI 1134581754) is an individual student in an organized health care education/training program in Clinton Township, Michigan and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Osteopathic Medicine (2016).

NPPES Registry Identity

NPI1134581754
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMISS MARIAM TEIMORZADEHCredential: D.O
Location Address15855 19 MILE RDClinton Township, MI 48038-3504
Mailing Address15855 19 Mile RdClinton Township, MI 48038-3504
Phone(586) 263-2952
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2016
Enumeration DateMarch 23, 2016
Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration
✔ NPI 1134581754 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.
15855 19 MILE RD, Clinton Township, MI 48038
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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 and accepts Medicare assignment

Miss Mariam Teimorzadeh D.o 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 ID2860786878
PECOS Enrollment IDI20231206003795
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.

MS. LEEANN WICKENS P.A.
Physician Assistant
15855 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (586) 203-1940
CYNTHIA GEE D.O.
Emergency Medicine
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (701) 340-2053
SARAH E NELSON
Nurse Practitioner (Adult Health)
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (313) 623-7602
MS. KARA NICOLE SZCZOMAK PA-C
Physician Assistant
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 263-2601
EMILY SOPEL
Occupational Therapist
15855 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (586) 263-2300
ANTONIO MACERI MD
Student in an Organized Health Care Education/Training Program
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 263-2300
HENRY FORD MACOMB HOSPITAL CORPORATION
General Acute Care Hospital
15855 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (568) 263-2705
JEFFREY A BERG CRNA
Nurse Anesthetist, Certified Registered
15855 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (586) 263-2370

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 Mariam Teimorzadeh's NPI number?

The NPI number for Mariam Teimorzadeh is 1134581754. It was assigned to this individual provider in the NPPES registry on March 23, 2016.

Where is Mariam Teimorzadeh located?

Mariam Teimorzadeh practices at 15855 19 Mile Rd, Clinton Township, MI 48038. The listed phone number is (586) 263-2952.

What is Mariam Teimorzadeh's specialty?

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

Is Mariam Teimorzadeh enrolled in Medicare?

Yes. Mariam Teimorzadeh 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 Mariam Teimorzadeh was last updated on December 17, 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.