Look up the most recent NPI and PECOS records

Mohammad Lesanpezeshki

Student in an Organized Health Care Education/Training Program

Student, Health Care

2500 Metrohealth Dr, Cleveland, OH 44109-1900

PECOS Enrollment

Based on the most recent information from CMS, provider Mohammad Lesanpezeshki is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1194304709
Provider Type
Individual
Full Name
Lesanpezeshki, Mohammad
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
4/2/2021
Last Updated
2/17/2025

Contact Information

Practice Location

2500 Metrohealth Dr, Cleveland, OH 44109-1900

(216) 778-4486

Unlisted Fax

Mailing Location

3333 Broadway Apt C14e, New York, NY 10031-8706

(718) 249-5775

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer
Code 2084B0040X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License 036.173149 Illinois
Code 2084P0800X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License 35.149223 Ohio

Mohammad Lesanpezeshki

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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