POONEH MEMAR ARDESTANI MD, PHD
NPI 1659996064
Psychiatry & Neurology - Neurology in Philadelphia, PA

Active since June 11, 2020PECOS EnrolledAccepts Medicare Assignment
5501 OLD YORK RD STE 1, PHILADELPHIA, PA 19141(215) 456-7890 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Pooneh Memar Ardestani Md, Phd NPPES

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

POONEH MEMAR ARDESTANI MD, PHD (NPI 1659996064) is an individual neurology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD486087) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Albert Einstein Medical Center, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1659996064
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NamePOONEH MEMAR ARDESTANICredential: MD, PHD
Location Address5501 OLD YORK RD STE 1Philadelphia, PA 19141-3098
Mailing Address5501 Old York Rd Ste 1Philadelphia, PA 19141-3098 · (215) 456-7890
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 11, 2020
Last NPPES UpdateJune 8, 2026
NPPES CertifiedJune 8, 2026
✔ NPI 1659996064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in PA · MD486087
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedInternal MedicineTaxonomy 207R00000X · License MT220203 (PA)
5501 OLD YORK RD STE 1, Philadelphia, PA 19141

Secondary Practice Location 1

Location 15401 Old York RdPhiladelphia, PA 19141-3030 · Phone (215) 456-7190

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pooneh Memar Ardestani Md, Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587138615
PECOS Enrollment IDI20260630002575
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.

Medicare Billing Reassignment

Medicare enrollment records show Pooneh Memar Ardestani reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Diagnostic Radiology
5501 OLD YORK RD
Philadelphia, PA 19141
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,205 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390142
Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19141 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Dentist (General Practice)
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Internal Medicine
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Internal Medicine
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Psychiatry & Neurology (Psychiatry)
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141

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 Pooneh Memar Ardestani's NPI number?

The NPI number for Pooneh Memar Ardestani is 1659996064. It was assigned to this individual provider in the NPPES registry on June 11, 2020.

Where is Pooneh Memar Ardestani located?

Pooneh Memar Ardestani practices at 5501 Old York Rd Ste 1, Philadelphia, PA 19141. The listed phone number is (215) 456-7890.

What is Pooneh Memar Ardestani's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Pooneh Memar Ardestani enrolled in Medicare?

Yes. Pooneh Memar Ardestani is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Pooneh Memar Ardestani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pooneh Memar Ardestani reassigns Medicare benefits to Einstein Practice Plan Inc (Philadelphia, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pooneh Memar Ardestani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pooneh Memar Ardestani accept?

Health plans from Ambetter Health and Ambetter from Buckeye Health Plan list Pooneh Memar Ardestani as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Pooneh Memar Ardestani affiliated with any hospitals?

According to CMS data, Pooneh Memar Ardestani is affiliated with Albert Einstein Medical Center.

When was this NPI record last updated?

The NPPES record for Pooneh Memar Ardestani was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.