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KEVIN KIAN MOHSENI MOFIDI MD
NPI 1740123074
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Active since April 11, 2026PECOS Enrolled
2601 E ROOSEVELT ST, PHOENIX, AZ 85008(602) 812-4312 Get Directions Write a Review

NPPES record last updated: April 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin Kian Mohseni Mofidi Md NPPES

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

KEVIN KIAN MOHSENI MOFIDI MD (NPI 1740123074) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1740123074
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKEVIN KIAN MOHSENI MOFIDICredential: MD
Location Address2601 E ROOSEVELT STPhoenix, AZ 85008-4973
Mailing Address3100 N Central Ave Fl 7Phoenix, AZ 85012-2637 · (602) 406-7218
Phone(602) 812-4312
Sole ProprietorNo
Enumeration DateApril 11, 2026
NPPES CertifiedApril 11, 2026
✔ NPI 1740123074 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.
2601 E ROOSEVELT ST, Phoenix, AZ 85008
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1350 W Thomas RdPhoenix, AZ 85013-4496 · Phone (602) 812-4312
Location 21919 E Thomas RdPhoenix, AZ 85016-7710 · Phone (602) 812-4312

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Kian Mohseni Mofidi 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. JOEL PHILIP BETZ M.D.
Emergency Medicine (Emergency Medical Services)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5411
DR. ALI SHAHEEN AL-YAQOOBI M.D.
Internal Medicine
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5411
MARICOPA INTEGRATED HEALTH SYSTEM
General Acute Care Hospital
2601 E ROOSEVELT ST, DEPARTMENT OF MEDICINE
PHOENIX, AZ 85008
Maricopa County (602) 344-5366
OWEN THOMAS MCCABE MD
Surgery (Trauma Surgery)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5011
BRIGHAM NICOLL
Psychiatry & Neurology (Psychiatry)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5011
DR. AMELIA CATHERINE VAN HANDEL M.D.
Plastic Surgery
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (410) 999-0858
KEVIN YANG
Psychiatry & Neurology (Psychiatry)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5011
STEPHANIE BERKSHIRE DO
Internal Medicine
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5892

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 Kevin Mohseni Mofidi's NPI number?

The NPI number for Kevin Mohseni Mofidi is 1740123074. It was assigned to this individual provider in the NPPES registry on April 11, 2026.

Where is Kevin Mohseni Mofidi located?

Kevin Mohseni Mofidi practices at 2601 E Roosevelt St, Phoenix, AZ 85008. The listed phone number is (602) 812-4312.

What is Kevin Mohseni Mofidi's specialty?

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

Is Kevin Mohseni Mofidi enrolled in Medicare?

Yes. Kevin Mohseni Mofidi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Mohseni Mofidi was last updated on April 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.