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MISHA MOVAHED-EZAZI M.D.
NPI 1902339393
Student in an Organized Health Care Education/Training Program in Hartford, CT

Active since April 04, 2017PECOS EnrolledAccepts Medicare Assignment
80 SEYMOUR ST, HARTFORD, CT 06102(860) 972-6113 Get Directions Write a Review

NPPES record last updated: April 4, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Misha Movahed-ezazi M.d. NPPES

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

MISHA MOVAHED-EZAZI M.D. (NPI 1902339393) is an individual student in an organized health care education/training program in Hartford, Connecticut and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1902339393
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMISHA MOVAHED-EZAZICredential: M.D.
Location Address80 SEYMOUR STHartford, CT 06102-8000
Mailing Address20270 Merrick DrSaratoga, CA 95070-4936
Phone(860) 972-6113
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 4, 2017
✔ NPI 1902339393 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.
80 SEYMOUR ST, Hartford, CT 06102
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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 and accepts Medicare assignment

Misha Movahed-ezazi M.d. 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.

PECOS PAC ID3971963356
PECOS Enrollment IDI20230717002665
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.

SUPARNA DUTTA M.D.
Internal Medicine
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 972-2085
ANN T ZOGBAUM RD
Dietitian, Registered
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 545-2697
DR. NISHA DHANABALSAMY MBBS
Internal Medicine
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 972-0549
MATTHEW BAXTER PA
Physician Assistant (Surgical)
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 545-5000
ALISON COUTURE WYSE CRNA
Nurse Anesthetist, Certified Registered
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 545-5000
ALICE DIFRANCESCO MD
Anesthesiology
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 545-5000
MICHELLE MAY ROE APRN
Nurse Practitioner (Family)
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 972-2824
DR. VESAL YAGHOOBI MD
Student in an Organized Health Care Education/Training Program
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 972-6113

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 Misha Movahed-ezazi's NPI number?

The NPI number for Misha Movahed-ezazi is 1902339393. It was assigned to this individual provider in the NPPES registry on April 4, 2017.

Where is Misha Movahed-ezazi located?

Misha Movahed-ezazi practices at 80 Seymour St, Hartford, CT 06102. The listed phone number is (860) 972-6113.

What is Misha Movahed-ezazi's specialty?

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

Is Misha Movahed-ezazi enrolled in Medicare?

Yes. Misha Movahed-ezazi 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 Misha Movahed-ezazi was last updated on April 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.