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TAHEREH KESHAVARZ PA-C
NPI 1326287244
Physician Assistant - Medical in Fargo, ND

Active since February 17, 2009PECOS Enrolled
700 1ST AVE S, MERITCARE NEUROSCIENCE CLINIC -, FARGO, ND 58103(701) 234-4036(701) 234-4134 Get Directions Write a Review

NPPES record last updated: November 21, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tahereh Keshavarz Pa-c NPPES

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

TAHEREH KESHAVARZ PA-C (NPI 1326287244) is an individual medical provider in Fargo, North Dakota, licensed in North Dakota (PAC0409) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326287244
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameTAHEREH KESHAVARZCredential: PA-C
Location Address700 1ST AVE S, MERITCARE NEUROSCIENCE CLINIC -Fargo, ND 58103
Mailing Address700 1st Ave S, Meritcare Neuroscience ClinicFargo, ND 58103 · (701) 234-4036 · Fax (701) 234-4134
Phone(701) 234-4036
Fax(701) 234-4134
Sole ProprietorNo
Enumeration DateFebruary 17, 2009
Last NPPES UpdateNovember 21, 2012
✔ NPI 1326287244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in ND · PAC0409
700 1ST AVE S, Fargo, ND 58103
Open in Google Maps ↗

Other Identifiers 1

Medicaid71175ND

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tahereh Keshavarz Pa-c 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.

SUSAN K FALCK PA
Physician Assistant
700 1ST AVE S
FARGO, ND 58103
Cass County (701) 234-4036
SANFORD CLINIC NORTH
Clinical Neuropsychologist
700 1ST AVE S
FARGO, ND 58103
Cass County (701) 234-4036
SUSAN L SCARBERRY MD
Psychiatry & Neurology (Neurology)
700 1ST AVE S
FARGO, ND 58103
Cass County (701) 234-4036
DR. RAVINDA SAMARAWEERA M.D.
Psychiatry & Neurology (Neurology)
700 1ST AVE S
FARGO, ND 58103
Cass County (701) 234-4036
ANGELA D WAGNER PA-C
Physician Assistant (Medical)
700 1ST AVE S
FARGO, ND 58103
Cass County (701) 234-4023
AMANDA DIAMOND
Psychiatry & Neurology (Neurology)
700 1ST AVE S
FARGO, ND 58103
Cass County (701) 234-4036
ALEXA PRIVRATSKY PA
Physician Assistant
700 1ST AVE S
FARGO, ND 58103
Cass County (701) 234-4036
MARCUS F KEEP MD
Neurological Surgery
700 1ST AVE S
FARGO, ND 58103
Cass County (701) 234-4036

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 Tahereh Keshavarz's NPI number?

The NPI number for Tahereh Keshavarz is 1326287244. It was assigned to this individual provider in the NPPES registry on February 17, 2009.

Where is Tahereh Keshavarz located?

Tahereh Keshavarz practices at 700 1st Ave S Meritcare Neuroscience Clinic -, Fargo, ND 58103. The listed phone number is (701) 234-4036.

What is Tahereh Keshavarz's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Tahereh Keshavarz enrolled in Medicare?

Yes. Tahereh Keshavarz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tahereh Keshavarz was last updated on November 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.