MANOOCHEHR MAZLOOMDOOST PSC
NPI 1770555492
Anesthesiology - Pain Medicine in Lexington, KY
About Manoochehr Mazloomdoost Psc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANOOCHEHR MAZLOOMDOOST PSC (NPI 1770555492), doing business as Wellward Regenerative Medicine, is a healthcare organization registered as a pain medicine in Lexington, Kentucky and active in the NPI registry since February 2006. The organization lists Danesh Mazloomdoost, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Other Names 2
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Manoochehr Mazloomdoost Psc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Manoochehr Mazloomdoost Psc, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Psc's NPI number?
The NPI number for Manoochehr Mazloomdoost Psc is 1770555492. It was assigned to this organization in the NPPES registry on February 6, 2006. The provider is doing business as Wellward Regenerative Medicine. The provider was formerly known as Pain Management Medicine.
Where is Manoochehr Mazloomdoost Psc located?
Manoochehr Mazloomdoost Psc is located at 101 N Eagle Creek Dr # 120, Lexington, KY 40509. The listed phone number is (859) 275-4878.
What is Manoochehr Mazloomdoost Psc's specialty?
The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.
Is Manoochehr Mazloomdoost Psc enrolled in Medicare?
Yes. Manoochehr Mazloomdoost Psc is registered in the Medicare PECOS enrollment system.
When is Manoochehr Mazloomdoost Psc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Kentucky, Physician - Interventional Pain Management) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Manoochehr Mazloomdoost Psc?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Manoochehr Mazloomdoost Psc, 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Manoochehr Mazloomdoost Psc accept?
Health plans from Anthem Blue Cross and Blue Shield list Manoochehr Mazloomdoost Psc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Manoochehr Mazloomdoost Psc was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Manoochehr Mazloomdoost Psc · NPI 1770555492
Pain Medicine organization in Lexington, Kentucky. Organization record, active in the CMS NPPES registry since February 6, 2006.
## Identity
- **NPI:** 1770555492 (Entity type: Organization)
- **Enumerated:** February 6, 2006
- **Primary specialty:** Anesthesiology - Pain Medicine · taxonomy 207LP2900X
- **Also known as:** Wellward Regenerative Medicine (Doing Business As); Pain Management Medicine (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Danesh Mazloomdoost, MEDICAL DIRECTOR
## Practice location
- **Address:** 101 N EAGLE CREEK DR # 120, Lexington, KY 40509-1806
- **Phone:** (859) 275-4878 · **Fax:** (859) 276-5400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (DME, Kentucky, Physician - Interventional Pain Management) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Anesthesiology (1), Chiropractic (1), Physical Medicine and Rehabilitation (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2026
- **Other identifiers:** Medicaid 65941387 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1770555492) · Data from the CMS NPPES public registry.