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SINA SAMIR MORIDZADEH MD
NPI 1558010637
Student in an Organized Health Care Education/Training Program in Albuquerque, NM

Active since March 23, 2022PECOS Enrolled
MSC10 5550 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-4661(505) 272-0475 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sina Samir Moridzadeh Md NPPES

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

SINA SAMIR MORIDZADEH MD (NPI 1558010637) is an individual student in an organized health care education/training program in Albuquerque, New Mexico and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Reno.

NPPES Registry Identity

NPI1558010637
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSINA SAMIR MORIDZADEHCredential: MD
Location AddressMSC10 5550 1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-4980
Mailing Address745 W Moana Ln Ste 300Reno, NV 89509-4980 · (775) 327-5174
Phone(505) 272-4661
Fax(505) 272-0475
Sole ProprietorNo
Enumeration DateMarch 23, 2022
Last NPPES UpdateMarch 27, 2023
NPPES CertifiedMarch 27, 2023
✔ NPI 1558010637 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.

MSC10 5550 1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131
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Secondary Practice Location 1

Location 1745 W Moana Ln Ste 300Reno, NV 89509-4980 · Phone (775) 327-5174

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sina Samir Moridzadeh Md 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.

LYNN ENGLER
Nurse Practitioner (Adult Health)
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4661
ERIN FITZGERALD
Internal Medicine
MSC10 5550 1 UNIVERSITY OF NEW MEXICO, PALLIATIVE CARE DEPARTMENT
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4868
ZACHARY SAM BRUSS DO
Student in an Organized Health Care Education/Training Program
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4661
HARRIS MAJEED
Student in an Organized Health Care Education/Training Program
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-6331
PAUL PARIS
Student in an Organized Health Care Education/Training Program
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4661
DAVID NGUYEN DO
Student in an Organized Health Care Education/Training Program
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4661
CLAUDIA ELIZABETH SALAS MD
Student in an Organized Health Care Education/Training Program
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4661
TIMOTHY GREGG CAMPBELL
Student in an Organized Health Care Education/Training Program
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4661

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 Sina Moridzadeh's NPI number?

The NPI number for Sina Moridzadeh is 1558010637. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Where is Sina Moridzadeh located?

Sina Moridzadeh practices at Msc10 5550 1 University Of New Mexico, Albuquerque, NM 87131. The listed phone number is (505) 272-4661.

What is Sina Moridzadeh's specialty?

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

Is Sina Moridzadeh enrolled in Medicare?

Yes. Sina Moridzadeh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sina Moridzadeh was last updated on March 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.