SOROUSH SHAKERI MD
NPI 1124713177
Student in an Organized Health Care Education/Training Program in Brooklyn, NY
About Soroush Shakeri Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOROUSH SHAKERI MD (NPI 1124713177) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Soroush Shakeri Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
BROOKLYN, NY 11219
BROOKLYN, NY 11219
BROOKLYN, NY 11219
BROOKLYN, NY 11219
BROOKLYN, NY 11219
BROOKLYN, NY 11219
BROOKLYN, NY 11219
BROOKLYN, NY 11219
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 Soroush Shakeri's NPI number?
The NPI number for Soroush Shakeri is 1124713177. It was assigned to this individual provider in the NPPES registry on April 6, 2023.
Where is Soroush Shakeri located?
Soroush Shakeri practices at Maimonides Medical Center 4802 10th Avenue, Brooklyn, NY 11219. The listed phone number is (718) 283-6000.
What is Soroush Shakeri's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Soroush Shakeri enrolled in Medicare?
Yes. Soroush Shakeri is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Soroush Shakeri was last updated on December 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Soroush Shakeri, MD · NPI 1124713177
Student in an Organized Health Care Education/Training Program provider in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since April 6, 2023.
## Identity
- **NPI:** 1124713177 (Entity type: Individual)
- **Enumerated:** April 6, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** MAIMONIDES MEDICAL CENTER, 4802 10TH AVENUE, Brooklyn, NY 11219
- **Phone:** (718) 283-6000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** December 5, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1124713177) · Data from the CMS NPPES public registry.