ANAAS MONCEF MERGOUM MD
NPI 1679190540
Student in an Organized Health Care Education/Training Program in Saint Paul, MN

Active since June 26, 2020PECOS Enrolled
580 RICE ST, SAINT PAUL, MN 55103(651) 227-6551 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 20, 2024, Jun 26, 2020 (2 updates tracked since 2020).

About Anaas Moncef Mergoum Md NPPES

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

ANAAS MONCEF MERGOUM MD (NPI 1679190540) is an individual student in an organized health care education/training program in Saint Paul, Minnesota and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679190540
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANAAS MONCEF MERGOUMCredential: MD
Location Address580 RICE STSaint Paul, MN 55103-2148
Mailing Address580 Rice StSaint Paul, MN 55103-2148 · (651) 227-6551
Sole ProprietorNo
Enumeration DateJune 26, 2020
Last NPPES UpdateJune 20, 20242 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
NPI 1679190540 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.
580 RICE ST, Saint Paul, MN 55103

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Anaas Moncef Mergoum 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.

Student in an Organized Health Care Education/Training Program
580 RICE ST
SAINT PAUL, MN 55103
Family Medicine
580 RICE ST
SAINT PAUL, MN 55103
Family Medicine
580 RICE ST
SAINT PAUL, MN 55103
Community/Behavioral Health
580 RICE ST
SAINT PAUL, MN 55103
Family Medicine
580 RICE ST
SAINT PAUL, MN 55103
Student in an Organized Health Care Education/Training Program
580 RICE ST
SAINT PAUL, MN 55103
Pharmacist
580 RICE ST
SAINT PAUL, MN 55103
Student in an Organized Health Care Education/Training Program
580 RICE ST, BETHESDA CLINIC
SAINT PAUL, MN 55103

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 Anaas Mergoum's NPI number?

The NPI number for Anaas Mergoum is 1679190540. It was assigned to this individual provider in the NPPES registry on June 26, 2020.

Where is Anaas Mergoum located?

Anaas Mergoum practices at 580 Rice St, Saint Paul, MN 55103. The listed phone number is (651) 227-6551.

What is Anaas Mergoum's specialty?

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

Is Anaas Mergoum enrolled in Medicare?

Yes. Anaas Mergoum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anaas Mergoum was last updated on June 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.