MOHAMMAD R JAZAYERI MD
NPI 1336238161
Internal Medicine - Clinical Cardiac Electrophysiology in Green Bay, WI

Active since October 12, 2006PECOS Enrolled
744 S WEBSTER AVE, 2ND FLOOR, GREEN BAY, WI 54301(920) 433-3640(920) 433-3716 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mohammad R Jazayeri Md NPPES

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

MOHAMMAD R JAZAYERI MD (NPI 1336238161) is an individual clinical cardiac electrophysiology provider in Green Bay, Wisconsin, licensed in Wisconsin (27239-20) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1336238161
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NameMOHAMMAD R JAZAYERICredential: MD
Location Address744 S WEBSTER AVE, 2ND FLOORGreen Bay, WI 54301-3505
Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7222 · Fax (920) 445-7289
Fax(920) 433-3716
Sole ProprietorNo
Enumeration DateOctober 12, 2006
Last NPPES UpdateNovember 28, 2023
NPPES CertifiedNovember 28, 2023
✔ NPI 1336238161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
License✔ Licensed in WI · 27239-20
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 27239 (WI)
744 S WEBSTER AVE, Green Bay, WI 54301

Secondary Practice Locations 2

Location 1820 Arbutus AveOconto, WI 54153-2004 · Phone (920) 835-1100 · Fax (920) 835-1099
Location 22820 Roosevelt RdMarinette, WI 54143-3834 · Phone (715) 735-5225 · Fax (715) 735-5388

Other Identifiers 1

Medicaid30770600WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mohammad R Jazayeri 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Mohammad Jazayeri reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
744 S WEBSTER AVE
Green Bay, WI 54301
  • Reassigned Medicare billing, Michigan and Wisconsin enrollments
  • 167 clinicians in this Medicare group
Rural Health
575 4TH ST
Kewaunee, WI 54216
  • Reassigned Medicare billing, Wisconsin enrollment
  • 573 clinicians in this Medicare group
Multi-Specialty
2300 WESTERN AVE
Manitowoc, WI 54220
  • Reassigned Medicare billing, Wisconsin enrollment
  • 350 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 19

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
330 services255 patients
Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244
A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.
210 services202 patients
Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298
This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.
105 services72 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
102 services86 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
98 services79 patients
Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days 93295
This procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.
96 services74 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Nurse Practitioner (Family)
744 S WEBSTER AVE
GREEN BAY, WI 54301
Internal Medicine (Pulmonary Disease)
744 S WEBSTER AVE
GREEN BAY, WI 54301
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
744 S WEBSTER AVE
GREEN BAY, WI 54301
Internal Medicine
744 S WEBSTER AVE
GREEN BAY, WI 54301
Nurse Practitioner (Neonatal)
744 S WEBSTER AVE
GREEN BAY, WI 54301
Anesthesiologist Assistant
744 S WEBSTER AVE
GREEN BAY, WI 54301
Occupational Therapist
744 S WEBSTER AVE
GREEN BAY, WI 54301
Nurse Practitioner
744 S WEBSTER AVE
GREEN BAY, WI 54301

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 Mohammad Jazayeri's NPI number?

The NPI number for Mohammad Jazayeri is 1336238161. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Mohammad Jazayeri located?

Mohammad Jazayeri practices at 744 S Webster Ave 2nd Floor, Green Bay, WI 54301. The listed phone number is (920) 433-3640.

What is Mohammad Jazayeri's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Mohammad Jazayeri enrolled in Medicare?

Yes. Mohammad Jazayeri is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mohammad Jazayeri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohammad Jazayeri reassigns Medicare benefits to 3 organizations: Bellin Memorial Hospital Inc (Green Bay, WI), Oconto Hospital & Medical Center Inc (Kewaunee, WI) and Froedtert Manitowoc Medical Group, LLC (Manitowoc, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mohammad Jazayeri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mohammad Jazayeri was last updated on November 28, 2023. 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.