SHADAN MEHRABAN MD
NPI 1457092983
Student in an Organized Health Care Education/Training Program in East Patchogue, NY

Active since April 06, 2022PECOS Enrolled
100 HOSPITAL RD STE 201, EAST PATCHOGUE, NY 11772(631) 475-6900 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 11, 2022, Apr 6, 2022 (2 updates tracked since 2022).

About Shadan Mehraban Md NPPES

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

SHADAN MEHRABAN MD (NPI 1457092983) is an individual student in an organized health care education/training program in East Patchogue, New York and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457092983
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHADAN MEHRABANCredential: MD
Location Address100 HOSPITAL RD STE 201East Patchogue, NY 11772-8814
Mailing Address100 Hospital Rd Ste 201East Patchogue, NY 11772-8814 · (631) 475-6900
Sole ProprietorNo
Enumeration DateApril 6, 2022
Last NPPES UpdateApril 11, 20222 updates tracked since enumeration
NPPES CertifiedApril 11, 2022
NPI 1457092983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
100 HOSPITAL RD STE 201, East Patchogue, NY 11772

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

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.

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.

Internal Medicine
100 HOSPITAL RD STE 201
EAST PATCHOGUE, NY 11772
Student in an Organized Health Care Education/Training Program
100 HOSPITAL RD STE 201
EAST PATCHOGUE, NY 11772
Student in an Organized Health Care Education/Training Program
100 HOSPITAL RD STE 201
EAST PATCHOGUE, NY 11772
Internal Medicine
100 HOSPITAL RD STE 201
EAST PATCHOGUE, NY 11772
Student in an Organized Health Care Education/Training Program
100 HOSPITAL RD STE 201
PATCHOGUE, NY 11772
Internal Medicine
100 HOSPITAL RD STE 201
EAST PATCHOGUE, NY 11772
Student in an Organized Health Care Education/Training Program
100 HOSPITAL RD STE 201
EAST PATCHOGUE, NY 11772
Student in an Organized Health Care Education/Training Program
100 HOSPITAL RD STE 201
EAST PATCHOGUE, NY 11772

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 Shadan Mehraban's NPI number?

The NPI number for Shadan Mehraban is 1457092983. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Where is Shadan Mehraban located?

Shadan Mehraban practices at 100 Hospital Rd Ste 201, East Patchogue, NY 11772. The listed phone number is (631) 475-6900.

What is Shadan Mehraban's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shadan Mehraban enrolled in Medicare?

Yes. Shadan Mehraban is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shadan Mehraban was last updated on April 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.