SHAYAN MASSOUMI MD
NPI 1376482117
Student in an Organized Health Care Education/Training Program in Madison, WI

Q: What is Shayan Massoumi's NPI number?

The NPI number for Shayan Massoumi is 1376482117. It was assigned to this individual provider in the NPPES registry on March 26, 2026.

Q: What is Shayan Massoumi's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shayan Massoumi was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.

Active since March 26, 2026PECOS Enrolled

749 UNIVERSITY ROW STE 200, MADISON, WI 53705(608) 263-2400 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Shayan Massoumi Md NPPES

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

SHAYAN MASSOUMI MD (NPI 1376482117) is an individual student in an organized health care education/training program in Madison, Wisconsin and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376482117

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSHAYAN MASSOUMICredential: MD

Location Address749 UNIVERSITY ROW STE 200Madison, WI 53705-1465

Mailing Address749 University Row Ste 200Madison, WI 53705-1465 · (608) 263-2400

Phone(608) 263-2400

Sole ProprietorNo

Enumeration DateMarch 26, 2026

NPPES CertifiedMarch 26, 2026

✔ NPI 1376482117 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

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.

749 UNIVERSITY ROW STE 200, Madison, WI 53705

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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)

Shayan Massoumi 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.

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. LEAH MERRELL GOBER MD

Student in an Organized Health Care Education/Training Program