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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MAHTAB DARVISH MD
NPI 1740082288
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since March 25, 2025PECOS Enrolled
325 E EISENHOWER PKWY STE 200, ANN ARBOR, MI 48108(734) 936-7175 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 9, 2026, Mar 25, 2025 (2 updates tracked since 2025).

About Mahtab Darvish Md NPPES

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

MAHTAB DARVISH MD (NPI 1740082288) is an individual student in an organized health care education/training program in Ann Arbor, Michigan and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740082288
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMAHTAB DARVISHCredential: MD
Location Address325 E EISENHOWER PKWY STE 200Ann Arbor, MI 48108-3346
Mailing Address1238 Horseshoe Cir Apt 201Ann Arbor, MI 48108-2423 · (443) 362-9970
Phone(734) 936-7175
Sole ProprietorNo
Enumeration DateMarch 25, 2025
Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1740082288 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
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.
325 E EISENHOWER PKWY STE 200, Ann Arbor, MI 48108
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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)

Mahtab Darvish 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 5

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

SAMANTHA LEIGH KORYCINSKI M.D.
Student in an Organized Health Care Education/Training Program
325 E EISENHOWER PKWY STE 200
ANN ARBOR, MI 48108
Washtenaw County (734) 615-6722
LUBNA AYOUBI MD
Student in an Organized Health Care Education/Training Program
325 E EISENHOWER PKWY STE 200
ANN ARBOR, MI 48108
Washtenaw County (734) 936-7175
LAURA FISHER
Physical Therapist (Orthopedic)
325 E EISENHOWER PKWY STE 200
ANN ARBOR, MI 48108
Washtenaw County (734) 763-6464
DR. ANDREW WILLIAM DEMKO MD
Physical Medicine & Rehabilitation
325 E EISENHOWER PKWY STE 200
ANN ARBOR, MI 48108
Washtenaw County (734) 936-7175
DR. MATTHEW VERNON BURNETT DO
Student in an Organized Health Care Education/Training Program
325 E EISENHOWER PKWY STE 200
ANN ARBOR, MI 48108
Washtenaw County (734) 712-3734

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 Mahtab Darvish's NPI number?

The NPI number for Mahtab Darvish is 1740082288. It was assigned to this individual provider in the NPPES registry on March 25, 2025.

Where is Mahtab Darvish located?

Mahtab Darvish practices at 325 E Eisenhower Pkwy Ste 200, Ann Arbor, MI 48108. The listed phone number is (734) 936-7175.

What is Mahtab Darvish's specialty?

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

Is Mahtab Darvish enrolled in Medicare?

Yes. Mahtab Darvish is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mahtab Darvish was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.