NEGHIN JAFARZADEH – Physician Assistant, NPI 1730884370

NEGHIN JAFARZADEH is a healthcare provider. based in Lakeside park, Kentucky. specializing in PHYSICIAN ASSISTANT. They hold a License No. 50.008091RX (OH). The NPI Number for NEGHIN JAFARZADEH is 1730884370

Main info

Female
Sole Proprietor
3 Years Of Experience
Name
NEGHIN JAFARZADEH
NPI
1730884370
Phone
Not provided
Address
304 ROCK CRYSTAL LN
Enumeration Date
3 April 2023
Last Update Date
8 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2023 (3 years ago)
PAC ID
1951751262
Professional Enrollment ID
I20250408001017
Address ID
NY147310500EL14XXXLANE300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

5,036 PHYSICIAN ASSISTANT in OH

Provider Addresses for NEGHIN JAFARZADEH

  • 304 ROCK CRYSTAL LN

    LAKESIDE PARK, KY 410173123

    Phone:

    Type: Mailing

  • 5505 HARRISON AVE

    CINCINNATI, OH 452482311

    Phone: (513) 832-0980

    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: 2023-12-28

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
I20231228003855IPhysician AssistantOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 41017)

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Reviews

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Frequently asked questions

What is the registry number for NEGHIN JAFARZADEH?
The registry entry for NEGHIN JAFARZADEH shows NPI 1730884370.
Is NEGHIN JAFARZADEH's NPI status active today?
Active status means NEGHIN JAFARZADEH's NPI record is not deactivated in the public file.
What type of care does NEGHIN JAFARZADEH provide?
NEGHIN JAFARZADEH's profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to NEGHIN JAFARZADEH?
NEGHIN JAFARZADEH is associated with Lakeside Park, Kentucky in the same public data insurers reference.
Why is information missing for NEGHIN JAFARZADEH?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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