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SHAYAN KHORSANDI M.D.
NPI 1083159305
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Vega Baja, PR

Active since December 21, 2016PECOS Enrolled
CARRETERA #2, KILOMETER 39.5, OFIC. 110, VEGA BAJA, PR 00693(787) 226-5425 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 4, 2025, Nov 2, 2023, Jul 16, 2018 and 1 more (4 updates tracked since 2016).

About Shayan Khorsandi M.d. NPPES

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

SHAYAN KHORSANDI M.D. (NPI 1083159305) is an individual urogynecology and reconstructive pelvic surgery provider in Vega Baja, Puerto Rico, licensed in Puerto Rico (021715) and active in the NPI registry since December 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Delran, and is a graduate of Stanford University School Of Medicine (2023).

NPPES Registry Identity

NPI1083159305
Entity TypeIndividualMale
Primary Taxonomy207VF0040X
Provider Legal NameSHAYAN KHORSANDICredential: M.D.
Location AddressCARRETERA #2, KILOMETER 39.5, OFIC. 110Vega Baja, PR 00693
Mailing Address16 Plaza Santa CruzTrujillo Alto, PR 00976-6123 · (787) 226-5425
Phone(787) 226-5425
Sole ProprietorNo
Medical School CMSStanford University School Of MedicineGraduated 2023
Enumeration DateDecember 21, 2016
Last NPPES UpdateFebruary 10, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2026
✔ NPI 1083159305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207VF0040X
License✔ Licensed in PR · 021715
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 021715 (PR), 25MA10177800 (NJ)
Also ListedUrology · Urogynecology and Reconstructive Pelvic SurgeryTaxonomy 2088F0040X · License 021715 (PR)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

Secondary Practice Location 1

Location 15045 Route 130 Ste IDelran, NJ 08075 · Phone (856) 764-7660

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shayan Khorsandi M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254682354
PECOS Enrollment IDI20230607001450
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 Shayan Khorsandi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Instituto Medico Del Norte Inc
General Acute Care Hospital
ROAD #2 KM 39.5
Vega Baja, PR 00693
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 53 clinicians in this Medicare group
NPI 1154309169 (787) 858-2580
Pelvic Solution Institute, LLC
Urogynecology and Reconstructive Pelvic Surgery
1804 AVE PONCE DE LEON, OFICINA 136-12
San Juan, PR 00726
  • Reassigned Medicare billing, Puerto Rico enrollment
NPI 1053299164 (787) 226-5425

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00693 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$70.88 typical visit price
range $18.24 – $140.44
Typical copayment $17.72 (range $4.56 – $35.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Shayan Khorsandi's NPI number?

The NPI number for Shayan Khorsandi is 1083159305. It was assigned to this individual provider in the NPPES registry on December 21, 2016.

Where is Shayan Khorsandi located?

Shayan Khorsandi practices at Carretera #2, Kilometer 39.5 Ofic. 110, Vega Baja, PR 00693. The listed phone number is (787) 226-5425.

What is Shayan Khorsandi's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Shayan Khorsandi enrolled in Medicare?

Yes. Shayan Khorsandi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shayan Khorsandi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shayan Khorsandi reassigns Medicare benefits to 2 organizations: Instituto Medico Del Norte Inc (Vega Baja, PR) and Pelvic Solution Institute, LLC (San Juan, PR). 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 Shayan Khorsandi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shayan Khorsandi was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.