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SOROUSH SHAKIBAKHO MD
NPI 1326610015
Family Medicine in North Canton, OH

Active since July 13, 2021PECOS Enrolled
6046 WHIPPLE AVE NW, NORTH CANTON, OH 44720(330) 433-1311(330) 477-7783 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2024, Jul 21, 2021, Jul 13, 2021 (3 updates tracked since 2021).

About Soroush Shakibakho Md NPPES

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

SOROUSH SHAKIBAKHO MD (NPI 1326610015) is an individual family medicine provider in North Canton, Ohio, licensed in Ohio (35.150765) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, is affiliated with Aultman Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1326610015
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSOROUSH SHAKIBAKHOCredential: MD
Location Address6046 WHIPPLE AVE NWNorth Canton, OH 44720-7616
Mailing AddressPo Box 80690Canton, OH 44708-0690 · (330) 363-7444 · Fax (330) 363-7770
Phone(330) 433-1311
Fax(330) 477-7783
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 13, 2021
Last NPPES UpdateJune 10, 20243 updates tracked since enumeration
NPPES CertifiedJune 10, 2024
✔ NPI 1326610015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35.150765
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6046 WHIPPLE AVE NW, North Canton, OH 44720
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

PECOS PAC ID1557768710
PECOS Enrollment IDI20240725003711
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
46 services30 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aultman Hospital

Acute Care Hospitals · Canton, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360084
Location2600 Sixth Street SWCanton, OH 44710 · Stark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44720 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. ZACHARY DAVID FETTMAN PHARMD
Pharmacist
6046 WHIPPLE AVE NW
NORTH CANTON, OH 44720
Stark County (330) 305-9075
JULIA FIORENTINO MD
Internal Medicine
6046 WHIPPLE AVE NW
NORTH CANTON, OH 44720
Stark County (330) 433-1200
MEGAN DONALDSON DPT
Physical Therapist
6046 WHIPPLE AVE NW
NORTH CANTON, OH 44720
Stark County (330) 433-1399
AMY ELIZABETH SENK D.O.
Pediatrics
6046 WHIPPLE AVE NW
NORTH CANTON, OH 44720
Stark County (330) 433-1777
DR. STEPHEN ADRIAN LOPEZ M.D.
Plastic Surgery
6046 WHIPPLE AVE NW
CANTON, OH 44720
Stark County (330) 499-2209
DANIELLE NADIENE KWASNICKA DO
Internal Medicine
6046 WHIPPLE AVE NW
CANTON, OH 44720
Stark County (330) 433-1200
GILBERT R ROWLEY MD
Internal Medicine
6046 WHIPPLE AVE NW
NORTH CANTON, OH 44720
Stark County (330) 433-1200
MRS. CHRISTINE ANN MILBURN NURSE PRACTITIONER
Nurse Practitioner (Family)
6046 WHIPPLE AVE NW
NORTH CANTON, OH 44720
Stark County (330) 433-1200

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 Shakibakho's NPI number?

The NPI number for Soroush Shakibakho is 1326610015. It was assigned to this individual provider in the NPPES registry on July 13, 2021.

Where is Soroush Shakibakho located?

Soroush Shakibakho practices at 6046 Whipple Ave NW, North Canton, OH 44720. The listed phone number is (330) 433-1311.

What is Soroush Shakibakho's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Soroush Shakibakho enrolled in Medicare?

Yes. Soroush Shakibakho is registered in the Medicare PECOS enrollment system.

What insurance does Soroush Shakibakho accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource list Soroush Shakibakho 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.

Is Soroush Shakibakho affiliated with any hospitals?

According to CMS data, Soroush Shakibakho is affiliated with Aultman Hospital.

When was this NPI record last updated?

The NPPES record for Soroush Shakibakho was last updated on June 10, 2024. 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.