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NADER REZVAN MD
NPI 1194888644
Specialist in Bloomington, IN

Active since December 18, 2006PECOS Enrolled
601 W 2ND ST, BLOOMINGTON, IN 47403(866) 483-4804(317) 870-0499 Get Directions Write a Review

NPPES record last updated: May 13, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nader Rezvan Md NPPES

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

NADER REZVAN MD (NPI 1194888644) is an individual specialist in Bloomington, Indiana, licensed in Indiana (01023405) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194888644
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameNADER REZVANCredential: MD
Location Address601 W 2ND STBloomington, IN 47403-2317
Mailing Address2312 N Dunn StBloomington, IN 47408-1327 · (866) 483-4804 · Fax (317) 870-0499
Phone(866) 483-4804
Fax(317) 870-0499
Sole ProprietorNo
Enumeration DateDecember 18, 2006
Last NPPES UpdateMay 13, 2016
✔ NPI 1194888644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IN · 01023405
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
601 W 2ND ST, Bloomington, IN 47403
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Other Identifiers 3

Medicaid100182840AIN
Medicare UPINE13644IN
Medicare PIN547540IIN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nader Rezvan 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.

DR. MICHAEL TIM DUNFEE M.D.
Anesthesiology
601 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 334-8958
LAURIE M EYNON
Dietitian, Registered
601 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 353-9568
ROBERT G PURSELL NP
Nurse Practitioner (Family)
601 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 353-9515
DAVID A DUNN D.O.
Anesthesiology
601 W 2ND ST, DEPARTMENT OF ANESTHESIOLOGY
BLOOMINGTON, IN 47403
Monroe County (812) 353-2317
DR. HOWIS YVETTE AROS MD
Hospitalist
601 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 353-9515
ERIN D WILSON
Dietitian, Registered
601 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 353-9568
ALVIN PERRY GRIFFITH M.D.
Psychiatry & Neurology (Psychiatry)
601 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 353-5603
INDIANA UNIVERSITY HEALTH BLOOMINGTON INC
Rehabilitation Unit
601 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 353-9940

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 Nader Rezvan's NPI number?

The NPI number for Nader Rezvan is 1194888644. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Nader Rezvan located?

Nader Rezvan practices at 601 W 2nd St, Bloomington, IN 47403. The listed phone number is (866) 483-4804.

What is Nader Rezvan's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Nader Rezvan enrolled in Medicare?

Yes. Nader Rezvan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nader Rezvan was last updated on May 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.