Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SELIM NASSIROU
NPI 1467340216
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Q: What is Selim Nassirou's NPI number?

The NPI number for Selim Nassirou is 1467340216. It was assigned to this individual provider in the NPPES registry on June 27, 2025.

Q: What is Selim Nassirou'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 Selim Nassirou was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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 June 27, 2025PECOS Enrolled

26224 N TATUM BLVD STE 5, PHOENIX, AZ 85050(480) 882-7580(480) 563-7442 Get Directions Write a Review

NPPES record last updated: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 29, 2026, Jun 27, 2025 (2 updates tracked since 2025).

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About Selim Nassirou NPPES

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

SELIM NASSIROU (NPI 1467340216) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467340216

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSELIM NASSIROU

Location Address26224 N TATUM BLVD STE 5Phoenix, AZ 85050-7500

Mailing Address26224 N Tatum Blvd Ste 5Phoenix, AZ 85050-7500 · (480) 882-7580 · Fax (480) 563-7442

Phone(480) 882-7580

Fax(480) 563-7442

Sole ProprietorNo

Enumeration DateJune 27, 2025

Last NPPES UpdateOctober 29, 20262 updates tracked since enumeration

NPPES CertifiedOctober 29, 2026

✔ NPI 1467340216 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.

26224 N TATUM BLVD STE 5, Phoenix, AZ 85050

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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)

Selim Nassirou 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.

JENNIFER SONG

Student in an Organized Health Care Education/Training Program