MOHAMMAD ESMAEILZADEH PA
NPI 1770931982
Physician Assistant - Medical in Bay Shore, NY
About Mohammad Esmaeilzadeh Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOHAMMAD ESMAEILZADEH PA (NPI 1770931982) is an individual medical provider in Bay Shore, New York, licensed in New York (019622-1) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mohammad Esmaeilzadeh Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mohammad Esmaeilzadeh's NPI number?
The NPI number for Mohammad Esmaeilzadeh is 1770931982. It was assigned to this individual provider in the NPPES registry on May 27, 2016.
Where is Mohammad Esmaeilzadeh located?
Mohammad Esmaeilzadeh practices at 1700 Union Blvd, Bay Shore, NY 11706. The listed phone number is (631) 665-1600.
What is Mohammad Esmaeilzadeh's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Mohammad Esmaeilzadeh enrolled in Medicare?
Yes. Mohammad Esmaeilzadeh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Mohammad Esmaeilzadeh was last updated on May 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.
# Mohammad Esmaeilzadeh, PA · NPI 1770931982
Medical physician in Bay Shore, New York. Individual provider, active in the CMS NPPES registry since May 27, 2016.
## Identity
- **NPI:** 1770931982 (Entity type: Individual)
- **Enumerated:** May 27, 2016
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 019622-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1700 UNION BLVD, Bay Shore, NY 11706-7955
- **Phone:** (631) 665-1600
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** May 27, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1770931982) · Data from the CMS NPPES public registry.