MICHELLE SROUR RD
NPI 1336906692
Dietitian, Registered in Brooklyn, NY

Active since March 04, 2024Accepts Medicare Assignment
1122 AVENUE P, BROOKLYN, NY 11229(718) 377-2834 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michelle Srour Rd NPPES

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

MICHELLE SROUR RD (NPI 1336906692) is an individual dietitian, registered in Brooklyn, New York, licensed in New York (86110248) and active in the NPI registry since March 2024. She is a graduate of Other (2018).

NPPES Registry Identity

NPI1336906692
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMICHELLE SROURCredential: RD
Location Address1122 AVENUE PBrooklyn, NY 11229-1025
Mailing Address1851 E 22nd StBrooklyn, NY 11229-1526 · (646) 229-8851
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 4, 2024
NPPES CertifiedFebruary 28, 2024
NPI 1336906692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed in NY · 86110248
Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

1122 AVENUE P, Brooklyn, NY 11229

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michelle Srour Rd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719324417
PECOS Enrollment IDI20240318000540

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11229 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
$0.00 typical visit price
range $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 6

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

Dentist (General Practice)
1122 AVENUE P
BROOKLYN, NY 11229
Internal Medicine (Nephrology)
1122 AVENUE P
BROOKLYN, NY 11229
Internal Medicine (Nephrology)
1122 AVENUE P
BROOKLYN, NY 11229
Internal Medicine (Nephrology)
1122 AVENUE P
BROOKLYN, NY 11229
Internal Medicine (Cardiovascular Disease)
1122 AVENUE P
BROOKLYN, NY 11229
Nurse Practitioner (Adult Health)
1122 AVENUE P
BROOKLYN, NY 11229

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336906692, enumerated as an "individual" on March 04, 2024.

The provider is located at 1122 AVENUE P BROOKLYN, NY 11229 and the phone number is (718) 377-2834.

Dietitian, Registered with taxonomy code 133V00000X.