DR. HAMED EKHTIARI MD, PHD
NPI 1669054003
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Q: What is Hamed Ekhtiari's NPI number?

The NPI number for Hamed Ekhtiari is 1669054003. It was assigned to this individual provider in the NPPES registry on April 26, 2021.

Q: What is Hamed Ekhtiari'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 Hamed Ekhtiari was last updated on April 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 26, 2021PECOS Enrolled

2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 273-9824 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Dr. Hamed Ekhtiari Md, Phd NPPES

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

DR. HAMED EKHTIARI MD, PHD (NPI 1669054003) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669054003

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. HAMED EKHTIARICredential: MD, PHD

Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450

Mailing Address2450 Riverside AveMinneapolis, MN 55454-1450 · (612) 273-9824

Phone(612) 273-9824

Sole ProprietorYes

Enumeration DateApril 26, 2021

NPPES CertifiedApril 26, 2021

✔ NPI 1669054003 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.

2450 RIVERSIDE AVE, Minneapolis, MN 55454

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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)

Dr. Hamed Ekhtiari Md, Phd 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.

MICHELLE IRENE GRAY

Rehabilitation Practitioner