REZA HOOSHYAR MD
NPI 1639707003
Student in an Organized Health Care Education/Training Program in Fayetteville, NC

Q: What is Reza Hooshyar's NPI number?

The NPI number for Reza Hooshyar is 1639707003. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Q: What is Reza Hooshyar'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 Reza Hooshyar was last updated on May 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since March 31, 2020PECOS Enrolled

1638 OWEN DR, FAYETTEVILLE, NC 28304(910) 615-5095 Get Directions Write a Review

NPPES record last updated: May 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2020, Mar 31, 2020 (2 updates tracked since 2020).

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About Reza Hooshyar Md NPPES

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

REZA HOOSHYAR MD (NPI 1639707003) is an individual student in an organized health care education/training program in Fayetteville, North Carolina and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639707003

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameREZA HOOSHYARCredential: MD

Location Address1638 OWEN DRFayetteville, NC 28304-3424

Mailing Address1638 Owen DrFayetteville, NC 28304-3424 · (910) 615-5095

Phone(910) 615-5095

Sole ProprietorYes

Enumeration DateMarch 31, 2020

Last NPPES UpdateMay 13, 20202 updates tracked since enumeration

NPPES CertifiedMay 13, 2020

✔ NPI 1639707003 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.

1638 OWEN DR, Fayetteville, NC 28304

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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)

Reza Hooshyar 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.

HEATHER MCPHAIL COAXUM NP

Nurse Practitioner (Family)