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DR. SOROOSH MAHBOUBI MD
NPI 1043261522
Radiology - Pediatric Radiology in Philadelphia, PA

Active since May 12, 2006PECOS Enrolled
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - RADIOLOGY, PHILADELPHIA, PA 19104(215) 590-7000(215) 590-9348 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Soroosh Mahboubi Md NPPES

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

DR. SOROOSH MAHBOUBI MD (NPI 1043261522) is an individual pediatric radiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD035194L) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043261522
Entity TypeIndividualMale
Primary Taxonomy2085P0229X
Provider Legal NameDR. SOROOSH MAHBOUBICredential: MD
Location Address3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - RADIOLOGYPhiladelphia, PA 19104-4319
Mailing Address100 E Penn Sq, 9th FloorPhiladelphia, PA 19107-3323 · (267) 425-9232 · Fax (267) 425-9299
Phone(215) 590-7000
Fax(215) 590-9348
Sole ProprietorNo
Enumeration DateMay 12, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1043261522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085P0229X
License✔ Licensed in PA · MD035194L
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License MD035194L (PA)
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
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Other Identifiers 1

Medicaid0006461470001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, AmeriHealth Caritas Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Soroosh Mahboubi Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Soroosh Mahboubi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Radiology Associates Of Children's Hospital, Inc
Same address
Pediatric Radiology
3401 CIVIC CENTER BLVD, RACH
Philadelphia, PA 19104
  • Reassigned Medicare billing, New Jersey and Pennsylvania enrollments
  • 17 clinicians in this Medicare group
NPI 1467403261 (215) 590-1000
Geisinger Clinic
74 mi
Family Medicine
529 TERRY REILEY WAY
Pottsville, PA 17901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group
NPI 1043261183 (570) 624-4444

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Soroosh Mahboubi's NPI number?

The NPI number for Soroosh Mahboubi is 1043261522. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Soroosh Mahboubi located?

Soroosh Mahboubi practices at 3401 Civic Center Blvd Children's Hospital Of Philadelphia - Radiology, Philadelphia, PA 19104. The listed phone number is (215) 590-7000.

What is Soroosh Mahboubi's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Is Soroosh Mahboubi enrolled in Medicare?

Yes. Soroosh Mahboubi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Soroosh Mahboubi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Soroosh Mahboubi reassigns Medicare benefits to 2 organizations: Radiology Associates Of Children's Hospital, Inc (Philadelphia, PA) and Geisinger Clinic (Pottsville, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Soroosh Mahboubi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Soroosh Mahboubi accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and AmeriHealth Caritas Next list Soroosh Mahboubi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Soroosh Mahboubi was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.