POUYA JAMSHIDI (MD) – Neuropathology Physician, NPI 1376905620

POUYA JAMSHIDI (MD) is a healthcare provider. based in Evanston, Illinois. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 125.072322 (IL). The NPI Number for POUYA JAMSHIDI (MD) is 1376905620

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
POUYA JAMSHIDI (MD)
NPI
1376905620
Phone
(847) 570-2019
Address
2650 Ridge Ave Rm 1917
Enumeration Date
25 March 2016
Last Update Date
13 November 2023

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
5294083770
Group Practice PAC ID
4587576814
Professional Enrollment ID
I20230725002099
Address ID
IL606112908CH251XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:10State licenses:2Digital endpointsOther names

767 PATHOLOGY in IL

Provider Addresses for POUYA JAMSHIDI (MD)

  • 2650 Ridge Ave Rm 1917

    Evanston, IL 602011700

    Phone: (847) 570-2019

    Type: Location

  • 2650 Ridge Ave Ste 1304

    Evanston, IL 60201

    Phone: (847) 570-2019

    Type: Location

  • 710 N FAIRBANKS CT STE 2-458

    CHICAGO, IL 606113013

    Phone: (312) 926-3211

    Fax: (312) 503-8259

    Type: Mailing

  • Harvester Drive, Burr Ridge, DuPage County, Illinois, 65027, United States

    BURR RIDGE, IL 605276686

    Phone: (773) 702-1150

    Type: Mailing

  • 1304, Ridge Avenue, South Evanston, Evanston, Evanston Township, Cook County, Illinois, 60201, United States

    EVANSTON, IL 60201

    Phone: (847) 570-2019

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230725002099IPathologyILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88341Special stained specimen slides to examine tissue, each additional procedure7718$0
88334Pathology cytologic examination of specimen during surgery, each additional site3012$0
88307Pathology examination of tissue using a microscope, moderately high complexity2916$0
88342Special stained specimen slides to examine tissue, initial procedure2621$0
88331Pathology examination of specimen during surgery, first tissue block1915$0
View full utilization report →

Insurance plans in this area (ZIP 60201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587576814View full group profile
NameSpecialtyState
-IL
Diagnostic Radiology, Interventional RadiologyIL
P A T H O L O G YIL
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineIL
G A S T R O E N T E R O L O G YIL
Internal MedicineIL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineMN
-IL
Physical Therapist In Private PracticeIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Does POUYA JAMSHIDI (MD) have a public NPI I can cite?
Public records show POUYA JAMSHIDI (MD) under NPI 1376905620.
Is POUYA JAMSHIDI (MD)'s NPI status active today?
Active status means POUYA JAMSHIDI (MD)'s NPI record is not deactivated in the public file.
What does the directory say POUYA JAMSHIDI (MD) does?
Insurance directories may phrase it differently, but here POUYA JAMSHIDI (MD) maps to Neuropathology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to POUYA JAMSHIDI (MD)?
POUYA JAMSHIDI (MD) is associated with Evanston, Illinois in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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