ALLAHYAR JAZAYERI (MD) – Obstetrics & Gynecology Physician, NPI 1508845231
Obstetrics & Gynecology Physician
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Profile Insights
NPPES metrics only — not quality of care.
798 OBSTETRICS/GYNECOLOGY in WI
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Provider Addresses for ALLAHYAR JAZAYERI (MD)
PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States
GREEN BAY, WI 543052487
Phone: (920) 445-7226
Fax: (920) 445-7289
Type: Mailing
704, South Webster Avenue, Astor, Green Bay, Brown County, Wisconsin, 54301, United States
GREEN BAY, WI 543013528
Phone: (920) 431-0200
Type: Location
2360A Duck Creek Pkwy Ste 2
Howard, WI 543033377
Phone: (920) 471-0304
Type: Location
2641 Development Dr
Green Bay, WI 543114240
Phone: (920) 338-6868
Fax: (920) 338-3869
Type: Location
2820 Roosevelt Rd
Marinette, WI 541433834
Phone: (715) 735-5225
Fax: (715) 735-5388
Type: Location
820 Arbutus Ave
Oconto, WI 541532004
Phone: (920) 835-1100
Fax: (920) 835-1099
Type: Location
5959 S SHERWOOD FOREST BLVD
BATON ROUGE, LA 708166038
Phone: (337) 470-4653
Fax: (257) 659-1962
Type: Mailing
4630 AMBASSADOR CAFFERY PKWY STE 302
LAFAYETTE, LA 705086950
Phone: (337) 470-4653
Fax: (337) 470-8319
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: 2022-03-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220310000727 | I | Obstetrics/Gynecology | LA | TBD |
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.
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 54305)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | LA | |
| Cardiac Surgery, Vascular Surgery, Thoracic Surgery | LA | |
| - | LA | |
| Internal Medicine | LA | |
| Nurse Practitioner | LA | |
| Pulmonary Disease, Critical Care (Intensivists) | LA | |
| Internal Medicine | LA | |
| Nurse Practitioner | LA | |
| - | LA | |
| Physician Assistant | LA |
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