MR. PEZAD NOZER DOCTOR M.D.
NPI 1669960944
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 23, 2018PECOS Enrolled
3901 BEAUBIEN BLVD, PEDIATRIC EDUCATION OFFICE 3T-72, 3RD FLOOR, DETROIT, MI 48201(313) 745-1892(313) 993-7118 Get Directions Write a Review

NPPES record last updated: December 10, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2025, Dec 10, 2018, Apr 23, 2018 (3 updates tracked since 2018).

About Mr. Pezad Nozer Doctor M.d. NPPES

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

MR. PEZAD NOZER DOCTOR M.D. (NPI 1669960944) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669960944
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. PEZAD NOZER DOCTORCredential: M.D.
Location Address3901 BEAUBIEN BLVD, PEDIATRIC EDUCATION OFFICE 3T-72, 3RD FLOORDetroit, MI 48201
Mailing Address3901 Beaubien Blvd, Pediatric Education Office 3t-72, 3rd FloorDetroit, MI 48201 · (313) 745-1892 · Fax (313) 993-7118
Fax(313) 993-7118
Sole ProprietorYes
Enumeration DateApril 23, 2018
Last NPPES UpdateDecember 10, 20183 updates tracked since enumeration
NPI 1669960944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
3901 BEAUBIEN BLVD, Detroit, MI 48201

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Pezad Nozer Doctor M.d. 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.

Pediatrics
3901 BEAUBIEN BLVD
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
3901 BEAUBIEN BLVD
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
3901 BEAUBIEN BLVD
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
3901 BEAUBIEN BLVD, PEDIATRIC EDUCATION-ROOM 3T72
DETROIT, MI 48201
Pediatrics (Neonatal-Perinatal Medicine)
3901 BEAUBIEN BLVD
DETROIT, MI 48201
Nurse Practitioner
3901 BEAUBIEN BLVD, 3RD FL CARLS BLDG.
DETROIT, MI 48201
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
3901 BEAUBIEN BLVD, 3RD FLOOR NEUROLOGY DEPARTMENT
DETROIT, MI 48201
Pharmacy (Community/Retail Pharmacy)
3901 BEAUBIEN BLVD, ROOM 108
DETROIT, MI 48201

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 Pezad Doctor's NPI number?

The NPI number for Pezad Doctor is 1669960944. It was assigned to this individual provider in the NPPES registry on April 23, 2018.

Where is Pezad Doctor located?

Pezad Doctor practices at 3901 Beaubien Blvd Pediatric Education Office 3t-72, 3rd Floor, Detroit, MI 48201. The listed phone number is (313) 745-1892.

What is Pezad Doctor's specialty?

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

Is Pezad Doctor enrolled in Medicare?

Yes. Pezad Doctor is registered in the Medicare PECOS enrollment system.

What insurance does Pezad Doctor accept?

Health plans from Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Kansas City list Pezad Doctor 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.

When was this NPI record last updated?

The NPPES record for Pezad Doctor was last updated on December 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.