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MINA ENTESSARI MD
NPI 1558066829
Student in an Organized Health Care Education/Training Program in Winston Salem, NC

Active since April 04, 2023PECOS Enrolled
131 MILLER ST, WINSTON SALEM, NC 27103(336) 716-8092(336) 716-8018 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mina Entessari Md NPPES

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

MINA ENTESSARI MD (NPI 1558066829) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558066829
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMINA ENTESSARICredential: MD
Location Address131 MILLER STWinston Salem, NC 27103-2508
Mailing AddressMedical Center BoulevardWinston Salem, NC 27157-0001 · (336) 716-8092 · Fax (336) 716-8018
Phone(336) 716-8092
Fax(336) 716-8018
Sole ProprietorYes
Enumeration DateApril 4, 2023
NPPES CertifiedApril 4, 2023
✔ NPI 1558066829 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.
131 MILLER ST, Winston Salem, NC 27103
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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)

Mina Entessari 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.

RACHEL LEIGH HONIG MD
Orthopaedic Surgery
131 MILLER ST
WINSTON SALEM, NC 27103
Forsyth County (336) 716-8200
ELIZABETH MARIE MAXIMILLIANA STROM PA-C
Physician Assistant
131 MILLER ST
WINSTON SALEM, NC 27103
Forsyth County (336) 716-8200
DR. CHARLES DANIEL JR. DMD
Dentist (General Practice)
131 MILLER ST
WINSTON SALEM, NC 27103
Forsyth County (336) 716-2183
DR. CORY AARON ALCON PT, DPT
Physical Therapist (Orthopedic)
131 MILLER ST
WINSTON SALEM, NC 27103
Forsyth County (336) 716-8110
BRIAN KEITH HANSEN
Student in an Organized Health Care Education/Training Program
131 MILLER ST
WINSTON SALEM, NC 27103
Forsyth County (252) 723-9594
MARC GELERNTER MD
Student in an Organized Health Care Education/Training Program
131 MILLER ST
WINSTON SALEM, NC 27103
Forsyth County (336) 716-4161
DENISE TICKLE PT
Physical Therapist
131 MILLER ST
WINSTON SALEM, NC 27103
Forsyth County (336) 716-8097
MS. KATHLEEN WHITLEY BARBER PA-C
Physician Assistant
131 MILLER ST
WINSTON SALEM, NC 27103
Forsyth County (336) 716-4161

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 Mina Entessari's NPI number?

The NPI number for Mina Entessari is 1558066829. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Where is Mina Entessari located?

Mina Entessari practices at 131 Miller St, Winston Salem, NC 27103. The listed phone number is (336) 716-8092.

What is Mina Entessari's specialty?

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

Is Mina Entessari enrolled in Medicare?

Yes. Mina Entessari is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mina Entessari was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.