DR. SEYEDBEHZAD JAZAYERI MD
NPI 1376048264
Student in an Organized Health Care Education/Training Program in Tampa, FL

Q: What is Seyedbehzad Jazayeri's NPI number?

The NPI number for Seyedbehzad Jazayeri is 1376048264. It was assigned to this individual provider in the NPPES registry on March 24, 2018.

Q: What is Seyedbehzad Jazayeri'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 March 24, 2018PECOS Enrolled

12902 USF MAGNOLIA DR, TAMPA, FL 33612(813) 745-4673 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 5, 2024, Oct 16, 2019, Mar 24, 2018 (3 updates tracked since 2018).

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About Dr. Seyedbehzad Jazayeri Md NPPES

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

DR. SEYEDBEHZAD JAZAYERI MD (NPI 1376048264) is an individual student in an organized health care education/training program in Tampa, Florida, licensed in Florida (TRN29365) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376048264

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. SEYEDBEHZAD JAZAYERICredential: MD

Location Address12902 USF MAGNOLIA DRTampa, FL 33612-9416

Mailing Address653 W 8th St Fl 2Jacksonville, FL 32209-6511

Phone(813) 745-4673

Sole ProprietorNo

Enumeration DateMarch 24, 2018

Last NPPES UpdateJune 5, 20243 updates tracked since enumeration

NPPES CertifiedJune 5, 2024

✔ NPI 1376048264 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 FL · TRN29365

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.

12902 USF MAGNOLIA DR, Tampa, FL 33612

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Secondary Practice Locations 2

Location 1653 W 8th St Fl 2Jacksonville, FL 32209-6511 · Phone (904) 244-7281

Location 2400 N Pepper AveColton, CA 92324-1801 · Phone (909) 580-3362

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Seyedbehzad 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 Reassignment

Medicare enrollment records show Seyedbehzad Jazayeri reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Watson Clinic LLP

29 mi

Internal Medicine

1600 LAKELAND HILLS BLVD
Lakeland, FL 33805

Reassigned Medicare billing, Florida enrollment
417 clinicians in this Medicare group

NPI 1316940695 (863) 680-7000

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

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.

DR. MICHAEL MARTIN WACH MD

Surgery