DR. MELODY AVA RASOULI MD
NPI 1194284471
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Q: What is Melody Rasouli's NPI number?

The NPI number for Melody Rasouli is 1194284471. It was assigned to this individual provider in the NPPES registry on March 17, 2019.

Q: What is Melody Rasouli's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Melody Rasouli was last updated on March 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 17, 2019PECOS Enrolled

1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102(702) 383-2000 Get Directions Write a Review

NPPES record last updated: March 17, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Melody Ava Rasouli Md NPPES

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

DR. MELODY AVA RASOULI MD (NPI 1194284471) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1194284471

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. MELODY AVA RASOULICredential: MD

Location Address1800 W CHARLESTON BLVDLas Vegas, NV 89102-2329

Mailing Address16160 Meadowcrest RdSherman Oaks, CA 91403-4720 · (408) 460-7729

Phone(702) 383-2000

Sole ProprietorNo

Enumeration DateMarch 17, 2019

✔ NPI 1194284471 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.

1800 W CHARLESTON BLVD, Las Vegas, NV 89102

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Secondary Practice Location 1

Location 13186 S Maryland PkwyLas Vegas, NV 89109-2317 · Phone (702) 961-5000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Melody Ava Rasouli 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.

MICHAEL M LEE MD

Internal Medicine