SADRA SEPEHRI
NPI 1548966971
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since February 07, 2023PECOS Enrolled
2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-2600 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2026, Feb 7, 2023 (2 updates tracked since 2023).

About Sadra Sepehri NPPES

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

SADRA SEPEHRI (NPI 1548966971) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548966971
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSADRA SEPEHRI
Location Address2799 W GRAND BLVDDetroit, MI 48202-2608
Mailing Address733 N Broadway # 147Baltimore, MD 21205-1832 · (410) 955-3080
Sole ProprietorNo
Enumeration DateFebruary 7, 2023
Last NPPES UpdateApril 9, 20262 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
NPI 1548966971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
2799 W GRAND BLVD, Detroit, MI 48202

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sadra Sepehri 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.

General Acute Care Hospital
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Family Medicine
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Cardiovascular Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Nurse Anesthetist, Certified Registered
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202

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 Sadra Sepehri's NPI number?

The NPI number for Sadra Sepehri is 1548966971. It was assigned to this individual provider in the NPPES registry on February 7, 2023.

Where is Sadra Sepehri located?

Sadra Sepehri practices at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (313) 916-2600.

What is Sadra Sepehri's specialty?

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

Is Sadra Sepehri enrolled in Medicare?

Yes. Sadra Sepehri is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sadra Sepehri was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.