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MOHAMMAD SHIGRI
NPI 1003617291
Podiatrist - Foot & Ankle Surgery in Fresh Meadows, NY

Active since March 24, 2025PECOS Enrolled
19460A 64TH AVE APT 2A, FRESH MEADOWS, NY 11365(516) 547-7769 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 20, 2025, Mar 24, 2025 (2 updates tracked since 2025).

About Mohammad Shigri NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOHAMMAD SHIGRI (NPI 1003617291) is an individual foot & ankle surgery provider in Fresh Meadows, New York, licensed in California (EL7224) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003617291
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameMOHAMMAD SHIGRI
Location Address19460A 64TH AVE APT 2AFresh Meadows, NY 11365-2837
Mailing Address19460a 64th Ave Apt 2aFresh Meadows, NY 11365-2837
Phone(516) 547-7769
Sole ProprietorNo
Enumeration DateMarch 24, 2025
Last NPPES UpdateJune 20, 20252 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1003617291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in CA · EL7224
19460A 64TH AVE APT 2A, Fresh Meadows, NY 11365
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mohammad Shigri is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions

What is Mohammad Shigri's NPI number?

The NPI number assigned to this healthcare provider is 1003617291, enumerated as an "individual" on March 24, 2025.

Where is the provider located?

The provider is located at 19460A 64TH AVE APT 2A FRESH MEADOWS, NY 11365 and the phone number is (516) 547-7769.

What is the provider's specialty?

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.