DR. ANDRE SHOMORONY MD
NPI 1265995088
Plastic Surgery - Plastic Surgery Within the Head and Neck in Greenwich, CT

Active since April 09, 2019PECOS Enrolled
116 MASON ST, GREENWICH, CT 06830(203) 661-1715 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Andre Shomorony Md NPPES

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

DR. ANDRE SHOMORONY MD (NPI 1265995088) is an individual plastic surgery within the head and neck provider in Greenwich, Connecticut, licensed in Connecticut (81708) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of Harvard Medical School (2019).

NPPES Registry Identity

NPI1265995088
Entity TypeIndividualMale
Primary Taxonomy2082S0099X
Provider Legal NameDR. ANDRE SHOMORONYCredential: MD
Location Address116 MASON STGreenwich, CT 06830-2607
Mailing Address116 Mason StGreenwich, CT 06830-2607
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2019
Enumeration DateApril 9, 2019
Last NPPES UpdateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
✔ NPI 1265995088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic Surgery · Plastic Surgery Within the Head and NeckAllopathic & Osteopathic Physicians
Taxonomy Code2082S0099X
License✔ Licensed in CT · 81708
Definition
A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.
116 MASON ST, Greenwich, CT 06830

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andre Shomorony Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163964057
PECOS Enrollment IDI20260626004069
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 Andre Shomorony reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
5 PERRYRIDGE RD
Greenwich, CT 06830
  • Reassigned Medicare billing, Connecticut enrollment
  • 268 clinicians in this Medicare group
Thoracic Surgery (Cardiothoracic Vascular Surgery)
595 W STATE ST STE 207
Doylestown, PA 18901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,488 clinicians in this Medicare group

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

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

Urology
116 MASON ST
GREENWICH, CT 06830

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 Andre Shomorony's NPI number?

The NPI number for Andre Shomorony is 1265995088. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Where is Andre Shomorony located?

Andre Shomorony practices at 116 Mason St, Greenwich, CT 06830. The listed phone number is (203) 661-1715.

What is Andre Shomorony's specialty?

The primary specialty registered for this NPI is Plastic Surgery, specializing in Plastic Surgery Within the Head and Neck, with taxonomy code 2082S0099X.

Is Andre Shomorony enrolled in Medicare?

Yes. Andre Shomorony is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Andre Shomorony's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andre Shomorony reassigns Medicare benefits to 2 organizations: Greenwich Hospital (Greenwich, CT) and University Of Penn - Medical Group (Doylestown, 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 Andre Shomorony'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 Andre Shomorony was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.