MRS. AYDA FATHOLLAH POUR M.D.
NPI 1235978693
Student in an Organized Health Care Education/Training Program in Toledo, OH

Active since May 23, 2024PECOS Enrolled
2100 W. CENTRAL AVE, TOLEDO, OH 43606(567) 420-1613 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Ayda Fathollah Pour M.d. NPPES

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

MRS. AYDA FATHOLLAH POUR M.D. (NPI 1235978693) is an individual student in an organized health care education/training program in Toledo, Ohio, licensed in Ohio (57.256929) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235978693
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMRS. AYDA FATHOLLAH POURCredential: M.D.
Location Address2100 W. CENTRAL AVEToledo, OH 43606
Mailing Address2100 W. Central AveToledo, OH 43606 · (765) 588-7079
Sole ProprietorNo
Enumeration DateMay 23, 2024
Last NPPES UpdateAugust 5, 2024
NPI 1235978693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in OH · 57.256929
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.
2100 W. CENTRAL AVE, Toledo, OH 43606

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Ayda Fathollah Pour M.d. 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 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
2100 W. CENTRAL AVE
TOLEDO, OH 43606
Student in an Organized Health Care Education/Training Program
2100 W. CENTRAL AVE
TOLEDO, OH 43606
Student in an Organized Health Care Education/Training Program
2100 W. CENTRAL AVE
TOLEDO, OH 43606
Student in an Organized Health Care Education/Training Program
2100 W. CENTRAL AVE
TOLEDO, OH 43606
Student in an Organized Health Care Education/Training Program
2100 W. CENTRAL AVE, UNIVERSITY OF TOLEDO , 2ND FLOOR
TOLEDO, OH 43606
Student in an Organized Health Care Education/Training Program
2100 W. CENTRAL AVE
TOLEDO, OH 43606
Student in an Organized Health Care Education/Training Program
2100 W. CENTRAL AVE
TOLEDO, OH 43606
Student in an Organized Health Care Education/Training Program
2100 W. CENTRAL AVE
TOLEDO, OH 43606

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 Ayda Fathollah Pour's NPI number?

The NPI number for Ayda Fathollah Pour is 1235978693. It was assigned to this individual provider in the NPPES registry on May 23, 2024.

Where is Ayda Fathollah Pour located?

Ayda Fathollah Pour practices at 2100 W. Central Ave, Toledo, OH 43606. The listed phone number is (567) 420-1613.

What is Ayda Fathollah Pour's specialty?

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

Is Ayda Fathollah Pour enrolled in Medicare?

Yes. Ayda Fathollah Pour is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ayda Fathollah Pour was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.