SINA KOOCHAKZADEH
NPI 1154940674
Otolaryngology in Minot, ND

Q: What is Sina Koochakzadeh's NPI number?

The NPI number for Sina Koochakzadeh is 1154940674. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Q: What is Sina Koochakzadeh's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Sina Koochakzadeh was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 April 14, 2020PECOS EnrolledAccepts Medicare Assignment

2305 37TH AVE SW, MINOT, ND 58701(701) 418-7530(701) 418-7531 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2025, Apr 14, 2020 (2 updates tracked since 2020).

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About Sina Koochakzadeh NPPES

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

SINA KOOCHAKZADEH (NPI 1154940674) is an individual otolaryngology provider in Minot, North Dakota, licensed in North Dakota (PT22874) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Trinity Hospitals, and maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1154940674

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameSINA KOOCHAKZADEH

Location Address2305 37TH AVE SWMinot, ND 58701-7669

Mailing AddressPo Box 5010Minot, ND 58702-5010 · (701) 418-8000

Phone(701) 418-7530

Fax(701) 418-7531

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 14, 2020

Last NPPES UpdateSeptember 24, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2025

✔ NPI 1154940674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in ND · PT22874

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2305 37TH AVE SW, Minot, ND 58701

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Secondary Practice Location 1

Location 11345 Center Drve Rm2-M228Gainesville, FL 32610-0001 · Phone (352) 273-5199 · Fax (352) 392-6781

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

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

Sina Koochakzadeh 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 ID2264851047

PECOS Enrollment IDI20251006001138

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trinity Hospitals

Acute Care Hospitals · Minot, ND

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number350006

Location407 3rd St SEMinot, ND 58701 · Ward County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.45 typical visit price

range $55.75 – $168.12

Typical copayment $31.86 (range $13.93 – $42.03)

Most-billed visit code 99204

Established Patient

$69.48 typical visit price

range $18.11 – $137.65

Typical copayment $17.37 (range $4.52 – $34.41)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MYCA L KLEESPIE CRNA

Nurse Anesthetist, Certified Registered