KOOSHA RAMEZANI MD
NPI 1962965863
Student in an Organized Health Care Education/Training Program in Bronx, NY
About Koosha Ramezani Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KOOSHA RAMEZANI MD (NPI 1962965863) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 5
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Koosha Ramezani Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Koosha Ramezani reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Norfolk, VA 23502
- Reassigned Medicare billing, Virginia enrollment
- 80 clinicians in this Medicare group
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.
BRONX, NY 10467
BRONX, NY 10467
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 Koosha Ramezani's NPI number?
The NPI number for Koosha Ramezani is 1962965863. It was assigned to this individual provider in the NPPES registry on April 9, 2019.
Where is Koosha Ramezani located?
Koosha Ramezani practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-9168.
What is Koosha Ramezani's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Koosha Ramezani enrolled in Medicare?
Yes. Koosha Ramezani 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.
Which organization bills Medicare for Koosha Ramezani's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Koosha Ramezani reassigns Medicare benefits to Virginia Eye Consultants Inc (Norfolk, VA). 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 Koosha Ramezani'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 Koosha Ramezani was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Koosha Ramezani, MD · NPI 1962965863
Student in an Organized Health Care Education/Training Program provider in Bronx, New York. Individual provider, active in the CMS NPPES registry since April 9, 2019.
## Identity
- **NPI:** 1962965863 (Entity type: Individual)
- **Enumerated:** April 9, 2019
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 111 E 210TH ST, Bronx, NY 10467-2401
- **Phone:** (718) 920-9168
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Virginia Eye Consultants Inc (NPI 1992727820, Norfolk, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** March 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1962965863) · Data from the CMS NPPES public registry.