SOPHIA ALEXANDRIA REZAYEE DO
NPI 1992558126
Student in an Organized Health Care Education/Training Program in Portland, OR
About Sophia Alexandria Rezayee Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOPHIA ALEXANDRIA REZAYEE DO (NPI 1992558126) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sophia Alexandria Rezayee Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
PORTLAND, OR 97210
PORTLAND, OR 97210
PORTLAND, OR 97210
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 Sophia Rezayee's NPI number?
The NPI number for Sophia Rezayee is 1992558126. It was assigned to this individual provider in the NPPES registry on April 8, 2024. The provider is also known as Sophia Rezayee Do.
Where is Sophia Rezayee located?
Sophia Rezayee practices at 1015 NW 22nd Ave, Portland, OR 97210. The listed phone number is (503) 413-7711.
What is Sophia Rezayee's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Sophia Rezayee enrolled in Medicare?
Yes. Sophia Rezayee is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Sophia Rezayee was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.
# Sophia Alexandria Rezayee, DO · NPI 1992558126
Student in an Organized Health Care Education/Training Program provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since April 8, 2024.
## Identity
- **NPI:** 1992558126 (Entity type: Individual)
- **Enumerated:** April 8, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1015 NW 22ND AVE, Portland, OR 97210-3025
- **Phone:** (503) 413-7711
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1992558126) · Data from the CMS NPPES public registry.