MOHAMMAD R JAZAYERI MD
NPI 1336238161
Internal Medicine - Clinical Cardiac Electrophysiology in Green Bay, WI
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
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 1
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).
Medicare Billing Reassignments
3Medicare 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.
Green Bay, WI 54301
- Reassigned Medicare billing, Michigan and Wisconsin enrollments
- 167 clinicians in this Medicare group
Kewaunee, WI 54216
- Reassigned Medicare billing, Wisconsin enrollment
- 573 clinicians in this Medicare group
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.
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.
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.
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.