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WELLWARD
NPI 1720110182
Anesthesiology - Pain Medicine in Corbin, KY

Active since March 12, 2007CLIA 18D2019949 · Certificate of Compliance
1100 CUMBERLAND FALLS HWY, CORBIN, KY 40701(859) 275-4878 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 17, 2022, Jul 18, 2022 (2 updates tracked since 2022).

About Wellward NPPES

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

WELLWARD (NPI 1720110182) is a healthcare organization registered as a pain medicine in Corbin, Kentucky and active in the NPI registry since March 2007. The organization holds a CLIA Certificate of Compliance certificate valid through May 21, 2028 and lists Danesh Mazloomdoost, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1720110182
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameMANOOCHEHR MAZLOOMDOOST P S C
Location Address1100 CUMBERLAND FALLS HWYCorbin, KY 40701-2715
Mailing Address101 N Eagle Creek DrLexington, KY 40509-1806 · (859) 275-4878 · Fax (859) 276-5400
Phone(859) 275-4878
Organization SubpartNo
Authorized OfficialDanesh MazloomdoostMedical Director · (859) 275-4878
Enumeration DateMarch 12, 2007
Last NPPES UpdateAugust 17, 20222 updates tracked since enumeration
NPPES CertifiedAugust 17, 2022
✔ NPI 1720110182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedSpecialistTaxonomy 174400000X · License 17083 (KY)
Also ListedPsychiatry & Neurology · Pain MedicineTaxonomy 2084P2900X
Also ListedPhysician AssistantTaxonomy 363A00000X
1100 CUMBERLAND FALLS HWY, Corbin, KY 40701
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Other Names 1

Doing Business AsWellward

Group Practice 2

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wellward is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Wellward, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (5)

Phillip Williams, P.T.
Physical Therapist in Private Practice
NPI 1700960473
1054 CENTER DR SUITE 1
Richmond, KY 40475
(859) 623-2057
✔ Accepts Medicare56 mi
Patrick Campbell, DC
Chiropractic
NPI 1679676605
5006 ATWOOD DR STE 5
Richmond, KY 40475
(859) 626-8833
✔ Accepts Medicare58 mi
Travis Bridges, DO
Physical Medicine and Rehabilitation
NPI 1508392044
101 N EAGLE CREEK DR
Lexington, KY 40509
(859) 275-4878
✔ PECOS✔ Accepts Medicare76 mi
Camellia Mazloomdoost, MD
Psychiatry
NPI 1952372419
101 N EAGLE CREEK DR
Lexington, KY 40509
(859) 275-4878
✔ PECOS✔ Accepts Medicare76 mi
Danesh Mazloomdoost, MD
Anesthesiology
NPI 1851447072
101 N EAGLE CREEK DR
Lexington, KY 40509
(859) 275-4878
✔ PECOS✔ Accepts Medicare76 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 18D2019949

Wellward Regenerative Medicine · Lexington, KY
Active · expires May 21, 2028
CLIA Number18D2019949
Laboratory TypePhysician Office
Certificate Effective DateMay 22, 2026
Certificate Expiration DateMay 21, 2028
Laboratory DirectorMr. Grant A. Bennett
Laboratory Phone(859) 275-4878
Laboratory LocationWellward Regenerative Medicine101 North Eagle Creek Drive, Lexington, KY 40509
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Manoochehr Mazloomdoost P S C's NPI number?

The NPI number for Manoochehr Mazloomdoost P S C is 1720110182. It was assigned to this organization in the NPPES registry on March 12, 2007. The provider is doing business as Wellward.

Where is Manoochehr Mazloomdoost P S C located?

Manoochehr Mazloomdoost P S C is located at 1100 Cumberland Falls Hwy, Corbin, KY 40701. The listed phone number is (859) 275-4878.

What is Manoochehr Mazloomdoost P S C's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Manoochehr Mazloomdoost P S C enrolled in Medicare?

Yes. Manoochehr Mazloomdoost P S C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Manoochehr Mazloomdoost P S C?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Manoochehr Mazloomdoost P S C, in Anesthesiology, Chiropractic, Physical Medicine and Rehabilitation, Physical Therapist in Private Practice and Psychiatry. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Manoochehr Mazloomdoost P S C hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 18D2019949) is associated with this NPI, valid through May 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Manoochehr Mazloomdoost P S C was last updated on August 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.