ARSH KETABFOROUSH
NPI 1629967351
Student in an Organized Health Care Education/Training Program in West Reading, PA

Active since June 30, 2025PECOS Enrolled
420 S 5TH AVE, WEST READING, PA 19611(573) 810-3925 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Arsh Ketabforoush NPPES

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

ARSH KETABFOROUSH (NPI 1629967351) is an individual student in an organized health care education/training program in West Reading, Pennsylvania, licensed in Pennsylvania (MT233297) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629967351
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameARSH KETABFOROUSH
Location Address420 S 5TH AVEWest Reading, PA 19611-2143
Mailing Address420 S 5th AveWest Reading, PA 19611-2143
Sole ProprietorNo
Enumeration DateJune 30, 2025
NPPES CertifiedJune 29, 2025
NPI 1629967351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in PA · MT233297
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.

420 S 5TH AVE, West Reading, PA 19611

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Arsh Ketabforoush 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.

Family Medicine
420 S 5TH AVE
WEST READING, PA 19611
Internal Medicine
420 S 5TH AVE
WEST READING, PA 19611
Emergency Medicine
420 S 5TH AVE
WEST READING, PA 19611
Family Medicine
420 S 5TH AVE
WEST READING, PA 19611
Obstetrics & Gynecology
420 S 5TH AVE
WEST READING, PA 19611
Internal Medicine
420 S 5TH AVE
WEST READING, PA 19611
Internal Medicine
420 S 5TH AVE
WEST READING, PA 19611
Physician Assistant
420 S 5TH AVE
WEST READING, PA 19611

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629967351, enumerated as an "individual" on June 30, 2025.

The provider is located at 420 S 5TH AVE WEST READING, PA 19611 and the phone number is (573) 810-3925.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.