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AMIRHOSSEIN MOZAFARYKHAMSEH
NPI 1467038182
Student in an Organized Health Care Education/Training Program in Derby, CT

Active since March 23, 2021PECOS Enrolled
130 DIVISION ST, DERBY, CT 06418(203) 732-7327 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amirhossein Mozafarykhamseh NPPES

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

AMIRHOSSEIN MOZAFARYKHAMSEH (NPI 1467038182) is an individual student in an organized health care education/training program in Derby, Connecticut and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467038182
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameAMIRHOSSEIN MOZAFARYKHAMSEH
Location Address130 DIVISION STDerby, CT 06418-1326
Mailing Address130 Division StDerby, CT 06418-1326
Phone(203) 732-7327
Sole ProprietorNo
Enumeration DateMarch 23, 2021
NPPES CertifiedMarch 23, 2021
✔ NPI 1467038182 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.
130 DIVISION ST, Derby, CT 06418
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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)

Amirhossein Mozafarykhamseh 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.

MRS. CHRISTINA ERNST MS,RD,CDN
Dietitian, Registered
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 732-7579
STACEY LEARY RD, CDN, CNSC
Dietitian, Registered
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 732-7585
GENEVIEVE CECILE KELA MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 732-7327
DR. DWAYNE ALANSIER HALL DNP
Nurse Practitioner
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 735-7421
DR. SYBIL CHENG D.O.
Emergency Medicine (Emergency Medical Services)
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 732-7403
PETER J. INTEGLIA CRNA
Nurse Anesthetist, Certified Registered
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 735-6493
RORY V CONDON MSN, MA
Nurse Practitioner (Psychiatric/Mental Health)
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 887-0604
TRENT GARCIA MD
Student in an Organized Health Care Education/Training Program
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 735-7421

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 Amirhossein Mozafarykhamseh's NPI number?

The NPI number for Amirhossein Mozafarykhamseh is 1467038182. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Where is Amirhossein Mozafarykhamseh located?

Amirhossein Mozafarykhamseh practices at 130 Division St, Derby, CT 06418. The listed phone number is (203) 732-7327.

What is Amirhossein Mozafarykhamseh's specialty?

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

Is Amirhossein Mozafarykhamseh enrolled in Medicare?

Yes. Amirhossein Mozafarykhamseh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amirhossein Mozafarykhamseh was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.