DR. SHIRIN ROSE MORTAZAVI MD, PHD
NPI 1215679857
Student in an Organized Health Care Education/Training Program in Corpus Christi, TX

Q: What is Shirin Mortazavi's NPI number?

The NPI number for Shirin Mortazavi is 1215679857. It was assigned to this individual provider in the NPPES registry on April 13, 2022.

Q: What is Shirin Mortazavi'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 Shirin Mortazavi was last updated on April 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 13, 2022PECOS Enrolled

2606 HOSPITAL BLVD STE B, CORPUS CHRISTI, TX 78405(361) 902-4789 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Shirin Rose Mortazavi Md, Phd NPPES

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

DR. SHIRIN ROSE MORTAZAVI MD, PHD (NPI 1215679857) is an individual student in an organized health care education/training program in Corpus Christi, Texas and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215679857

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. SHIRIN ROSE MORTAZAVICredential: MD, PHD

Location Address2606 HOSPITAL BLVD STE BCorpus Christi, TX 78405-1804

Mailing Address2606 Hospital Blvd Ste BCorpus Christi, TX 78405-1804

Phone(361) 902-4789

Sole ProprietorNo

Enumeration DateApril 13, 2022

NPPES CertifiedApril 6, 2022

✔ NPI 1215679857 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.

2606 HOSPITAL BLVD STE B, Corpus Christi, TX 78405

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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)

Dr. Shirin Rose Mortazavi Md, Phd 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.