HESAMADDIN SHAKOURIANFARD MD
NPI 1326609702
Student in an Organized Health Care Education/Training Program in Kalamazoo, MI

Q: What is Hesamaddin Shakourianfard's NPI number?

The NPI number for Hesamaddin Shakourianfard is 1326609702. It was assigned to this individual provider in the NPPES registry on June 26, 2019.

Q: What is Hesamaddin Shakourianfard's specialty?

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

Active since June 26, 2019PECOS Enrolled

1000 OAKLAND DR, KALAMAZOO, MI 49008(269) 337-6500 Get Directions Write a Review

NPPES record last updated: June 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Hesamaddin Shakourianfard Md NPPES

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

HESAMADDIN SHAKOURIANFARD MD (NPI 1326609702) is an individual student in an organized health care education/training program in Kalamazoo, Michigan, licensed in Michigan (4351045430) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326609702

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameHESAMADDIN SHAKOURIANFARDCredential: MD

Location Address1000 OAKLAND DRKalamazoo, MI 49008-1282

Mailing Address1000 Oakland DrKalamazoo, MI 49008-1282

Phone(269) 337-6500

Sole ProprietorNo

Enumeration DateJune 26, 2019

✔ NPI 1326609702 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

License✔ Licensed in MI · 4351045430

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.

1000 OAKLAND DR, Kalamazoo, MI 49008

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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)

Hesamaddin Shakourianfard 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$215.65 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ANDREW MATTINGLY MD

Student in an Organized Health Care Education/Training Program