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KEON YOUSSEFZADEH
NPI 1174378087
Student in an Organized Health Care Education/Training Program in Greensboro, NC

Active since April 23, 2024PECOS Enrolled
1200 N ELM ST, GREENSBORO, NC 27401(336) 823-7272(336) 832-8641 Get Directions Write a Review

NPPES record last updated: April 27, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Keon Youssefzadeh NPPES

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

KEON YOUSSEFZADEH (NPI 1174378087) is an individual student in an organized health care education/training program in Greensboro, North Carolina and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174378087
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKEON YOUSSEFZADEH
Location Address1200 N ELM STGreensboro, NC 27401-1004
Mailing Address1200 N Elm StGreensboro, NC 27401-1004
Phone(336) 823-7272
Fax(336) 832-8641
Sole ProprietorNo
Enumeration DateApril 23, 2024
Last NPPES UpdateApril 27, 2024
NPPES CertifiedApril 27, 2024
✔ NPI 1174378087 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.
1200 N ELM ST, Greensboro, NC 27401
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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)

Keon Youssefzadeh 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.

CHRISTINA MARIA ALBERT MD
Family Medicine
1200 N ELM ST
GREENSBORO, NC 27401
Guilford County (336) 832-7000
DR. PRINCE ADU AMOAKO MD
Student in an Organized Health Care Education/Training Program
1200 N ELM ST
GREENSBORO, NC 27401
Guilford County (336) 832-7272
DR. STEPHEN THOMAS RANCOUR M. D.
Emergency Medicine
1200 N ELM ST
GREENSBORO, NC 27401
Guilford County (336) 716-2255
PAMELA JEAN REITNAUER MD
Pediatrics
1200 N ELM ST
GREENSBORO, NC 27401
Guilford County (336) 832-8060
DR. DIANA LAVINDER NGUYEN MD
Student in an Organized Health Care Education/Training Program
1200 N ELM ST
GREENSBORO, NC 27401
Guilford County (336) 832-7272
STEPHANIE NICOLE DIXON FNP-C
Nurse Practitioner
1200 N ELM ST
GREENSBORO, NC 27401
Guilford County (336) 832-7000
ABDULLAHI HUSSEIN MD
Internal Medicine (Critical Care Medicine)
1200 N ELM ST
GREENSBORO, NC 27401
Guilford County (336) 522-8999
MR. MARK JOSEPH SAWULSKI P.T.
Physical Therapist
1200 N ELM ST
GREENSBORO, NC 27401
Guilford County (336) 832-8120

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 Keon Youssefzadeh's NPI number?

The NPI number for Keon Youssefzadeh is 1174378087. It was assigned to this individual provider in the NPPES registry on April 23, 2024.

Where is Keon Youssefzadeh located?

Keon Youssefzadeh practices at 1200 N Elm St, Greensboro, NC 27401. The listed phone number is (336) 823-7272.

What is Keon Youssefzadeh's specialty?

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

Is Keon Youssefzadeh enrolled in Medicare?

Yes. Keon Youssefzadeh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keon Youssefzadeh was last updated on April 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.