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SHAGHAYEGH MAZOURY DO
NPI 1891372140
Student in an Organized Health Care Education/Training Program in Hudson, FL

Active since March 24, 2021PECOS Enrolled
14000 FIVAY RD, HUDSON, FL 34667(727) 819-2966(727) 819-2928 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 1, 2021, Mar 24, 2021 (2 updates tracked since 2021).

About Shaghayegh Mazoury Do NPPES

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

SHAGHAYEGH MAZOURY DO (NPI 1891372140) is an individual student in an organized health care education/training program in Hudson, Florida and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891372140
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHAGHAYEGH MAZOURYCredential: DO
Location Address14000 FIVAY RDHudson, FL 34667-7103
Mailing Address2104 S Broadway St Apt 6bPittsburg, KS 66762-6266 · (480) 371-4542
Phone(727) 819-2966
Fax(727) 819-2928
Sole ProprietorYes
Enumeration DateMarch 24, 2021
Last NPPES UpdateApril 1, 20212 updates tracked since enumeration
NPPES CertifiedApril 1, 2021
✔ NPI 1891372140 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.
14000 FIVAY RD, Hudson, FL 34667
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shaghayegh Mazoury Do 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.

Medicare Billing Reassignment

Medicare enrollment records show Shaghayegh Mazoury reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

East Bay Nephrology Medical Group, Inc.
2,367 mi
Nephrology
2905 TELEGRAPH AVE
Berkeley, CA 94705
  • Reassigned Medicare billing, California enrollment
  • 46 clinicians in this Medicare group
NPI 1871699074 (510) 841-4525

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

OSCAR VINCENT LOPEZ P.T.
Physical Therapist
14000 FIVAY RD
HUDSON, FL 34667
Pasco County (727) 819-2962
DR. DEBORAH SAEPHARN DO
Student in an Organized Health Care Education/Training Program
14000 FIVAY RD
HUDSON, FL 34667
Pasco County (727) 819-2966
HCA HEALTH SERVICES OF FLORIDA, INC.
Rehabilitation Unit
14000 FIVAY RD
HUDSON, FL 34667
Pasco County (727) 819-2929
DR. ELIE FEGAHLI MD
Internal Medicine
14000 FIVAY RD
HUDSON, FL 34667
Pasco County (727) 819-2966
DR. ANTHONY MAURICE SALIBI DO
Internal Medicine
14000 FIVAY RD
HUDSON, FL 34667
Pasco County (727) 819-2966
MONICA SCITURRO DO
Student in an Organized Health Care Education/Training Program
14000 FIVAY RD
HUDSON, FL 34667
Pasco County (727) 861-4453
DR. PUNIT BORAD DO
Student in an Organized Health Care Education/Training Program
14000 FIVAY RD
HUDSON, FL 34667
Pasco County (727) 992-6230
DR. JOSHUA PUMAROL MD
Student in an Organized Health Care Education/Training Program
14000 FIVAY RD
HUDSON, FL 34667
Pasco County (727) 819-2929

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 Shaghayegh Mazoury's NPI number?

The NPI number for Shaghayegh Mazoury is 1891372140. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Where is Shaghayegh Mazoury located?

Shaghayegh Mazoury practices at 14000 Fivay Rd, Hudson, FL 34667. The listed phone number is (727) 819-2966.

What is Shaghayegh Mazoury's specialty?

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

Is Shaghayegh Mazoury enrolled in Medicare?

Yes. Shaghayegh Mazoury is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shaghayegh Mazoury's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shaghayegh Mazoury reassigns Medicare benefits to East Bay Nephrology Medical Group, Inc. (Berkeley, CA). The 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 Shaghayegh Mazoury's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shaghayegh Mazoury was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.