AMIR REZA RAZAVI DO
NPI 1467205260
Student in an Organized Health Care Education/Training Program in Maywood, IL

Q: What is Amir Razavi's NPI number?

The NPI number for Amir Razavi is 1467205260. It was assigned to this individual provider in the NPPES registry on April 10, 2024.

Q: What is Amir Razavi'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 Amir Razavi was last updated on June 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 April 10, 2024PECOS Enrolled

2160 S 1ST AVE, MAYWOOD, IL 60153(708) 216-9153 Get Directions Write a Review

NPPES record last updated: June 8, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 8, 2025, Apr 10, 2024 (2 updates tracked since 2024).

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About Amir Reza Razavi Do NPPES

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

AMIR REZA RAZAVI DO (NPI 1467205260) is an individual student in an organized health care education/training program in Maywood, Illinois, licensed in Illinois (125.085393) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467205260

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameAMIR REZA RAZAVICredential: DO

Location Address2160 S 1ST AVEMaywood, IL 60153-3328

Mailing Address2160 S 1st AveMaywood, IL 60153-3328 · (708) 216-9153

Phone(708) 216-9153

Sole ProprietorNo

Enumeration DateApril 10, 2024

Last NPPES UpdateJune 8, 20252 updates tracked since enumeration

NPPES CertifiedJune 7, 2025

✔ NPI 1467205260 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 IL · 125.085393

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.

2160 S 1ST AVE, Maywood, IL 60153

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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)

Amir Reza Razavi Do 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.

ANITA OZA NAGAMINE M.D.

Radiology (Diagnostic Radiology)