SARA EZAT POURJAVAHERI MD
NPI 1467240812
Student in an Organized Health Care Education/Training Program in San Angelo, TX
About Sara Ezat Pourjavaheri Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SARA EZAT POURJAVAHERI MD (NPI 1467240812) is an individual student in an organized health care education/training program in San Angelo, Texas and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sara Ezat Pourjavaheri Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SAN ANGELO, TX 76904
SAN ANGELO, TX 76904
SAN ANGELO, TX 76904
SAN ANGELO, TX 76904
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 Sara Pourjavaheri's NPI number?
The NPI number for Sara Pourjavaheri is 1467240812. It was assigned to this individual provider in the NPPES registry on April 28, 2025.
Where is Sara Pourjavaheri located?
Sara Pourjavaheri practices at 3555 Knickerbocker Rd, San Angelo, TX 76904. The listed phone number is (325) 747-2222.
What is Sara Pourjavaheri's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Sara Pourjavaheri enrolled in Medicare?
Yes. Sara Pourjavaheri is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Sara Pourjavaheri was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Sara Ezat Pourjavaheri, MD · NPI 1467240812
Student in an Organized Health Care Education/Training Program provider in San Angelo, Texas. Individual provider, active in the CMS NPPES registry since April 28, 2025.
## Identity
- **NPI:** 1467240812 (Entity type: Individual)
- **Enumerated:** April 28, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3555 KNICKERBOCKER RD, San Angelo, TX 76904-7610
- **Phone:** (325) 747-2222
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 28, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1467240812) · Data from the CMS NPPES public registry.