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NEZHLA BOZORGMAND MOMAYEZI
NPI 1710611389
Counselor - Professional in Silver Spring, MD

Active since July 11, 2022PECOS Enrolled
15107 INTERLACHEN DR # 2-703, SILVER SPRING, MD 20906(301) 455-8935 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 29, 2026, May 13, 2026, Jul 11, 2022 (3 updates tracked since 2022).

About Nezhla Bozorgmand Momayezi NPPES

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

NEZHLA BOZORGMAND MOMAYEZI (NPI 1710611389) is an individual professional provider in Silver Spring, Maryland, licensed in Maryland (LC12438) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Silver Spring.

NPPES Registry Identity

NPI1710611389
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameNEZHLA BOZORGMAND MOMAYEZI
Location Address15107 INTERLACHEN DR # 2-703Silver Spring, MD 20906-5625
Mailing Address15107 Interlachen Dr # 2-703Silver Spring, MD 20906-5625 · (410) 978-0001
Phone(301) 455-8935
Sole ProprietorYes
Enumeration DateJuly 11, 2022
Last NPPES UpdateMay 29, 20263 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
✔ NPI 1710611389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MD · LC12438
15107 INTERLACHEN DR # 2-703, Silver Spring, MD 20906
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Secondary Practice Location 1

Location 115107 Interlachen Dr # 2-703Silver Spring, MD 20906-5625 · Phone (301) 455-8935

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nezhla Bozorgmand Momayezi 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GIFT OF LIFE
Counselor (Professional)
15107 INTERLACHEN DR # 2-703
SILVER SPRING, MD 20906
Montgomery County (410) 978-0001

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 Nezhla Momayezi's NPI number?

The NPI number for Nezhla Momayezi is 1710611389. It was assigned to this individual provider in the NPPES registry on July 11, 2022.

Where is Nezhla Momayezi located?

Nezhla Momayezi practices at 15107 Interlachen Dr # 2-703, Silver Spring, MD 20906. The listed phone number is (301) 455-8935.

What is Nezhla Momayezi's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Nezhla Momayezi enrolled in Medicare?

Yes. Nezhla Momayezi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nezhla Momayezi was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.