E'ZOZA AKHUNDJANOVA MD
NPI 1366003683
Pediatrics in Kent, WA
About E'zoza Akhundjanova Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
E'ZOZA AKHUNDJANOVA MD (NPI 1366003683) is an individual pediatrics provider in Kent, Washington, licensed in Washington (MD70134816) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Manchester.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
E'zoza Akhundjanova Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show E'zoza Akhundjanova reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lynchburg, TN 37352
- Reassigned Medicare billing, Tennessee enrollment
- 110 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98030 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.
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 E'zoza Akhundjanova's NPI number?
The NPI number for E'zoza Akhundjanova is 1366003683. It was assigned to this individual provider in the NPPES registry on June 26, 2019.
Where is E'zoza Akhundjanova located?
E'zoza Akhundjanova practices at 403 E Meeker St Ste 200, Kent, WA 98030. The listed phone number is (253) 852-2866.
What is E'zoza Akhundjanova's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is E'zoza Akhundjanova enrolled in Medicare?
Yes. E'zoza Akhundjanova is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for E'zoza Akhundjanova's services?
According to the CMS Revalidation Reassignment List (October 2026 release), E'zoza Akhundjanova reassigns Medicare benefits to Amg-Southern Tennessee LLC (Lynchburg, TN). The 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 E'zoza Akhundjanova's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does E'zoza Akhundjanova accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list E'zoza Akhundjanova as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for E'zoza Akhundjanova was last updated on October 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.
# E'zoza Akhundjanova, MD · NPI 1366003683
Pediatrics physician in Kent, Washington. Individual provider, active in the CMS NPPES registry since June 26, 2019.
## Identity
- **NPI:** 1366003683 (Entity type: Individual)
- **Enumerated:** June 26, 2019
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** MD70134816 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 403 E MEEKER ST STE 200, Kent, WA 98030-5904
- **Phone:** (253) 852-2866 · **Fax:** (253) 852-3102
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Amg-Southern Tennessee LLC (NPI 1477395192, Lynchburg, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1366003683) · Data from the CMS NPPES public registry.