DR. SOROUSH NOMIGOLZAR MD
NPI 1730751710
Student in an Organized Health Care Education/Training Program in Greenville, NC

Q: What is Soroush Nomigolzar's NPI number?

The NPI number for Soroush Nomigolzar is 1730751710. It was assigned to this individual provider in the NPPES registry on July 11, 2021.

Q: What is Soroush Nomigolzar's specialty?

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

Active since July 11, 2021PECOS Enrolled

2100 STANTONSBURG RD, GREENVILLE, NC 27834(252) 744-3229 Get Directions Write a Review

NPPES record last updated: July 11, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Soroush Nomigolzar Md NPPES

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

DR. SOROUSH NOMIGOLZAR MD (NPI 1730751710) is an individual student in an organized health care education/training program in Greenville, North Carolina, licensed in North Carolina (RTL21-0913) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730751710

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. SOROUSH NOMIGOLZARCredential: MD

Location Address2100 STANTONSBURG RDGreenville, NC 27834-2818

Mailing Address2100 Stantonsburg RdGreenville, NC 27834-2818 · (252) 744-3229

Phone(252) 744-3229

Sole ProprietorNo

Enumeration DateJuly 11, 2021

NPPES CertifiedJuly 11, 2021

✔ NPI 1730751710 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

License✔ Licensed in NC · RTL21-0913

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.

2100 STANTONSBURG RD, Greenville, NC 27834

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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. Soroush Nomigolzar 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.

DR. STEPHEN ERIC GREGG M.D.

Student in an Organized Health Care Education/Training Program