BIJAN SOROURI M.D. P.A.
NPI 1063717874
Specialist in Newark, DE
About Bijan Sorouri M.d. P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BIJAN SOROURI M.D. P.A. (NPI 1063717874) is a healthcare organization registered as a specialist in Newark, Delaware and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through March 9, 2028 and lists Kayvan Sorouri, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bijan Sorouri M.d. P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Bijan Sorouri M.D. P.A., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 08D0942319
Bijan Sorouri MD PA · Newark, DEFrequently 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 Bijan Sorouri M.D. P.A.'s NPI number?
The NPI number for Bijan Sorouri M.D. P.A. is 1063717874. It was assigned to this organization in the NPPES registry on January 26, 2011.
Where is Bijan Sorouri M.D. P.A. located?
Bijan Sorouri M.D. P.A. is located at 10 Darwin Dr, Newark, DE 19711. The listed phone number is (302) 453-9171.
What is Bijan Sorouri M.D. P.A.'s specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Bijan Sorouri M.D. P.A. enrolled in Medicare?
Yes. Bijan Sorouri M.D. P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bijan Sorouri M.D. P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Bijan Sorouri M.D. P.A., in Family Practice and Internal Medicine. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Bijan Sorouri M.D. P.A. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 08D0942319) is associated with this NPI, valid through March 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Bijan Sorouri M.D. P.A. accept?
Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Bijan Sorouri M.D. P.A. 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 Bijan Sorouri M.D. P.A. was last updated on January 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Bijan Sorouri M.d. P.a. · NPI 1063717874
Specialist organization in Newark, Delaware. Organization record, active in the CMS NPPES registry since January 26, 2011.
## Identity
- **NPI:** 1063717874 (Entity type: Organization)
- **Enumerated:** January 26, 2011
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Kayvan Sorouri, MANAGER
## Practice location
- **Address:** 10 DARWIN DR, Newark, DE 19711-6658
- **Phone:** (302) 453-9171 · **Fax:** (302) 453-0732
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Internal Medicine (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 26, 2011
- **Other identifiers:** Medicare UPIN E55024; Medicaid 0000059001 (DE)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063717874) · Data from the CMS NPPES public registry.