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SHEIDA POURDASHTI MD
NPI 1750178679
Student in an Organized Health Care Education/Training Program in Madison, WI

Active since April 23, 2025PECOS Enrolled
1102 S PARK ST, MADISON, WI 53715(608) 263-3111 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sheida Pourdashti Md NPPES

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

SHEIDA POURDASHTI MD (NPI 1750178679) is an individual student in an organized health care education/training program in Madison, Wisconsin and active in the NPI registry since April 2025. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750178679
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameSHEIDA POURDASHTICredential: MD
Location Address1102 S PARK STMadison, WI 53715-1708
Mailing Address1100 Delaplaine CtMadison, WI 53715-1840 · (608) 263-4550
Phone(608) 263-3111
Sole ProprietorNo
Enumeration DateApril 23, 2025
NPPES CertifiedApril 23, 2025
✔ NPI 1750178679 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.
1102 S PARK ST, Madison, WI 53715
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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)

Sheida Pourdashti 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.

CAITLIN J REGNER MD
Family Medicine
1102 S PARK ST
MADISON, WI 53715
Dane County (608) 263-3111
LEA GARDINER RN
Nurse Practitioner (Psychiatric/Mental Health)
1102 S PARK ST
MADISON, WI 53715
Dane County (608) 282-8270
ALLISON PLUMMER MSSW
Counselor (Addiction (Substance Use Disorder))
1102 S PARK ST
MADISON, WI 53715
Dane County (608) 282-8270
JOSE MANUEL CARRILLO MD
Family Medicine
1102 S PARK ST
MADISON, WI 53715
Dane County (608) 263-3111
JULITA ANNA JANKOWSKA LICENSED PROFESSIONA
Counselor (Professional)
1102 S PARK ST
MADISON, WI 53715
Dane County (608) 282-8270
KETTY THERTUS M.D.
Psychiatry & Neurology (Psychiatry)
1102 S PARK ST
MADISON, WI 53715
Dane County (608) 282-8270
RHONDA L SAGER MA, BA, SAC-IT
Counselor (Addiction (Substance Use Disorder))
1102 S PARK ST
MADISON, WI 53715
Dane County (608) 282-8270
DR. YOHUALLI BALDERAS-MEDINA ANAYA M.D.
Family Medicine
1102 S PARK ST
MADISON, WI 53715
Dane County (608) 263-3111

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 Sheida Pourdashti's NPI number?

The NPI number for Sheida Pourdashti is 1750178679. It was assigned to this individual provider in the NPPES registry on April 23, 2025.

Where is Sheida Pourdashti located?

Sheida Pourdashti practices at 1102 S Park St, Madison, WI 53715. The listed phone number is (608) 263-3111.

What is Sheida Pourdashti's specialty?

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

Is Sheida Pourdashti enrolled in Medicare?

Yes. Sheida Pourdashti is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sheida Pourdashti was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.