DR. AMIR HOSSEIN PEZESHKMEHR M.D.
NPI 1215101894
Radiology - Pediatric Radiology in Little Rock, AR

Q: What is Amir Pezeshkmehr's NPI number?

The NPI number for Amir Pezeshkmehr is 1215101894. It was assigned to this individual provider in the NPPES registry on April 15, 2008.

Q: What is Amir Pezeshkmehr's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Q: When was this NPI record last updated?

The NPPES record for Amir Pezeshkmehr was last updated on June 10, 2022. 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.

Active since April 15, 2008PECOS EnrolledAccepts Medicare Assignment

1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202(501) 364-1000(501) 364-4082 Get Directions Write a Review

NPPES record last updated: June 10, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 10, 2022, Aug 14, 2018, Dec 30, 2015 (3 updates tracked since 2015).

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About Dr. Amir Hossein Pezeshkmehr M.d. NPPES

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

DR. AMIR HOSSEIN PEZESHKMEHR M.D. (NPI 1215101894) is an individual pediatric radiology provider in Little Rock, Arkansas, licensed in Texas (R8645) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Corpus Christi Medical Center,the, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1215101894

Entity TypeIndividualMale

Primary Taxonomy2085P0229X

Provider Legal NameDR. AMIR HOSSEIN PEZESHKMEHRCredential: M.D.

Location Address1 CHILDRENS WAY # 653Little Rock, AR 72202

Mailing Address1 Childrens Way # 653Little Rock, AR 72202-3500 · (501) 364-1000 · Fax (501) 364-4082

Phone(501) 364-1000

Fax(501) 364-4082

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateApril 15, 2008

Last NPPES UpdateJune 10, 20223 updates tracked since enumeration

NPPES CertifiedJune 10, 2022

✔ NPI 1215101894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085P0229X

License✔ Licensed in TX · R8645

Definition

A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License R8645 (TX), E-8292 (AR)

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License E-8292 (AR), R8645 (TX)

1 CHILDRENS WAY # 653, Little Rock, AR 72202

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Other Identifiers 1

Medicaid210182001AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Amir Hossein Pezeshkmehr M.d. 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 ID4385958446

PECOS Enrollment IDI20180828000600

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.

Medicare Billing Reassignment

Medicare enrollment records show Amir Pezeshkmehr reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Children's Physician Group

393 mi

Pediatrics

6621 FANNIN ST
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: Texas Childrens Physician Group
2,498 clinicians in this Medicare group

NPI 1861675506 (832) 824-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Corpus Christi Medical Center,the

Acute Care Hospitals · Corpus Christi, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number450788

Location6629 Woodridge RoadCorpus Christi, TX 78414 · Nueces County

Emergency services Birthing friendly

Texas Childrens Hosp

Childrens · Houston, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number453304

Location6621 Fannin StreetHouston, TX 77030 · Harris County

Emergency services

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.

ADRIENNE MARIE KODER

Orthopaedic Surgery