Pedram Esmaeelzadeh

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

13565 Issued in FL

Practice address

1806 Wallace Manor LN
Winter Haven, FL 33880-1842

Phone

(678) 282-7225

NPI assigned

Aug 29, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• BSH Health PA

  • Registered Dietitian
  • New York, NY
  • NPI 1679303465

  Dietitian, Registered, FL

  Medicare reassignment NPD
• Pedram Esmaeelzadeh Rd LLC

  • Registered Dietitian
  • Winter Haven, FL
  • NPI 1770435190

  Dietitian, Registered

  NPD Authorized official
• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465

  Dietitian, Registered

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1932933009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 WALLACE MANOR LN",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338801842",
            "telephone_number": "678-282-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 WALLACE MANOR LN",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338801842",
            "telephone_number": "678-282-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESMAEELZADEH",
        "first_name": "PEDRAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "13565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arnold Epel, MD
• Janet G Ergle, CRNA
• Ernesto J Perez MD LLC
• Deborah Ervin-Dawkins, RBT
• Laura Ann Esler
• Kelechi N Esoga, MD
• Nkechinyere Esoga
• Maria Gracia Espejo-Kong, M.D.
• Maria Esposito, LPN
• Kenneth A Essig, M.D.

• Registered Dietitian in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.