Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sina Koochakzadeh

Individual provider Otolaryngology Physician · NPI 1154940674

Sina Koochakzadeh is an Otolaryngology in Minot, North Dakota. Qualified in 2020, 6 years ago. Practices with Trinity Health, a 294-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
6
Licensed in
ND
In the registry since
2020
Specialties on file
2

Practice location Address checks out

2305 37th Ave SW
Minot, ND 58701-7669
Phone: (701) 418-7530
Fax: (701) 418-7531
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1345 Center Drve Rm2-M228, Gainesville, FL 32610-0001 — (352) 273-5199

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence PT22874 (ND)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1154940674
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 14, 2020
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Trinity Health — 294 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Minot