DR. FARBOD NABIZADEH (MD) – Obstetrics & Gynecology Physician, NPI 1033470414

DR. FARBOD NABIZADEH (MD) is a healthcare provider. based in Bangor, Maine. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. MD20415 (ME). The NPI Number for DR. FARBOD NABIZADEH (MD) is 1033470414

Main info

Male
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. FARBOD NABIZADEH (MD)
NPI
1033470414
Phone
(207) 945-6588
Address
12 STILLWATER AVE
Enumeration Date
2 June 2012
Last Update Date
20 May 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7328402200
Graduation Year
2006 (20 years ago)
PAC ID
4284947524
Group Practice PAC ID
3476859182
Professional Enrollment ID
I20190905000543
Address ID
NJ087247732BR425XXBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

214 OBSTETRICS/GYNECOLOGY in ME

Provider Addresses for DR. FARBOD NABIZADEH (MD)

  • 12 STILLWATER AVE

    UNIT 1

    BANGOR, ME 044013984

    Phone: (207) 945-6588

    Type: Location

  • 1 CHELSEA AVE

    APT 412

    LONG BRANCH, NJ 077408109

    Phone: (347) 721-5147

    Type: Mailing

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: 2019-09-05

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
I20190905000543IObstetrics/GynecologyNJTBD

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 04401)

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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: 3476859182View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YNJ
O B S T E T R I C S/ G Y N E C O L O G YNJ
O B S T E T R I C S/ G Y N E C O L O G YNJ
O B S T E T R I C S/ G Y N E C O L O G YNJ
O B S T E T R I C S/ G Y N E C O L O G YNJ
O B S T E T R I C S/ G Y N E C O L O G YNJ
O B S T E T R I C S/ G Y N E C O L O G YNJ
O B S T E T R I C S/ G Y N E C O L O G YCO
O B S T E T R I C S/ G Y N E C O L O G YNJ
O B S T E T R I C S/ G Y N E C O L O G YNJ

Reviews

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Frequently asked questions

Where can patients find DR. FARBOD NABIZADEH (MD)'s NPI?
You can confirm DR. FARBOD NABIZADEH (MD) with NPI 1033470414; it appears in the national provider directory.
Is DR. FARBOD NABIZADEH (MD) currently active in the NPI registry?
CMS-published data lists DR. FARBOD NABIZADEH (MD) as an active registrant.
What does DR. FARBOD NABIZADEH (MD) treat or focus on?
Patients typically see DR. FARBOD NABIZADEH (MD) under the specialty Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. FARBOD NABIZADEH (MD)'s primary listing?
We display Bangor, Maine because that is what the record indicates for DR. FARBOD NABIZADEH (MD).
How can I contact DR. FARBOD NABIZADEH (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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