| NPI | 1164483145 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-03-30 |
| Last Updated | 2025-07-30 |
| Mailing Address | 3301 W Forest Home Ave Milwaukee, WI 53215-2843 United States 📍 View Map |
| Primary Practice Address | 10400 75th St Kenosha, WI 53142-7884 United States Phone: (262) 948-5600 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | IL | 325969551 | — |
| MEDICAID | WI | 34539500 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207RC0001X – Internal Medicine, Clinical Cardiac Electrophysiology | IL | 036-100521 |
| Yes | 207RC0001X – Internal Medicine, Clinical Cardiac Electrophysiology | WI | 45561 |
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About NPI 1164483145
Mehran Jabbarzadeh MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1164483145. The primary specialty listed is Internal Medicine, Clinical Cardiac Electrophysiology. The provider is located in Kenosha, WI. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-03-30. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1164483145?
NPI 1164483145 belongs to Mehran Jabbarzadeh MD, a Internal Medicine, Clinical Cardiac Electrophysiology in Kenosha, WI. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1164483145 active?
The current status of NPI 1164483145 in the NPPES registry is Active. The record was last updated on 2025-07-30.
What specialty is NPI 1164483145?
NPI 1164483145 is classified under the taxonomy Internal Medicine, Clinical Cardiac Electrophysiology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1164483145?
You can verify NPI 1164483145 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1164483145?
The primary practice address on file for NPI 1164483145 is 10400 75th St, Kenosha, WI 53142-7884. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1164483145 issued?
NPI 1164483145 was first issued (enumerated) on 2006-03-30. The NPPES record was last updated on 2025-07-30.
Practice Location Map
Mehran Jabbarzadeh is located at 10400 75th St, Kenosha, WI. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Mehran Jabbarzadeh. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1164483145. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine, Clinical Cardiac Electrophysiology | 036-100521 | IL |
| Internal Medicine, Clinical Cardiac Electrophysiology | 45561 | WI |