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DR. SHAYAN FAKURNEJAD MD
NPI 1518596345
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Bronx, NY

Active since April 03, 2020PECOS EnrolledAccepts Medicare Assignment
3400 BAINBRIDGE AVE FL 3, BRONX, NY 10467(718) 920-8425 Get Directions Write a Review

NPPES record last updated: August 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 22, 2026, Apr 6, 2020, Apr 3, 2020 (3 updates tracked since 2020).

About Dr. Shayan Fakurnejad Md NPPES

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

DR. SHAYAN FAKURNEJAD MD (NPI 1518596345) is an individual otolaryngology/facial plastic surgery provider in Bronx, New York, licensed in New York (344368) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Jefferson Health- Northeast, and is a graduate of Univ Of Calif, San Francisco School Of Dentistry (2025).

NPPES Registry Identity

NPI1518596345
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NameDR. SHAYAN FAKURNEJADCredential: MD
Location Address3400 BAINBRIDGE AVE FL 3Bronx, NY 10467-2404
Mailing Address3400 Bainbridge Ave Fl 3Bronx, NY 10467-2404
Phone(718) 920-8425
Sole ProprietorNo
Medical School CMSUniv Of Calif, San Francisco School Of DentistryGraduated 2025
Enumeration DateApril 3, 2020
Last NPPES UpdateAugust 22, 20263 updates tracked since enumeration
NPPES CertifiedAugust 22, 2026
✔ NPI 1518596345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License✔ Licensed in NY · 344368
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
3400 BAINBRIDGE AVE FL 3, Bronx, NY 10467
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shayan Fakurnejad Md 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 ID6800290479
PECOS Enrollment IDI20250818000323
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 Reassignment

Medicare enrollment records show Shayan Fakurnejad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jefferson University Physicians
93 mi
General Practice
33 S. 9TH STREET
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,739 clinicians in this Medicare group
NPI 1326093675 (215) 955-0000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Jefferson Health- Northeast

Acute Care Hospitals · Philadelphia, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390115
Location10800 Knights RoadPhiladelphia, PA 19114 · Philadelphia County
Emergency services

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 9

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

NORTHLAND HEARING CENTERS, INC.
Clinic/Center (Hearing and Speech)
3400 BAINBRIDGE AVE FL 3
BRONX, NY 10467
Bronx County (917) 473-6923
MYKOLA OLSHEVSKYY PA-C
Physician Assistant (Surgical)
3400 BAINBRIDGE AVE FL 3
BRONX, NY 10467
Bronx County (718) 920-4646
MONTEFIORE MEDICAL CENTER
General Acute Care Hospital
3400 BAINBRIDGE AVE FL 3
BRONX, NY 10467
Bronx County (718) 920-4267
ASHLEY ANDINO
Audiologist
3400 BAINBRIDGE AVE FL 3
BRONX, NY 10467
Bronx County (718) 920-4250
ANGERICA BELTRAN PA-C
Physician Assistant
3400 BAINBRIDGE AVE FL 3
BRONX, NY 10467
Bronx County (718) 920-4646
SAMANTHA LYNN CASEY AUD
Audiologist
3400 BAINBRIDGE AVE FL 3
BRONX, NY 10467
Bronx County (718) 920-2333
THEA ABIGAIL HOLDER AUD
Audiologist
3400 BAINBRIDGE AVE FL 3
BRONX, NY 10467
Bronx County (888) 848-2044
RONDA E ALEXANDER MD
Otolaryngology
3400 BAINBRIDGE AVE FL 3
BRONX, NY 10467
Bronx County (718) 920-4646

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 Shayan Fakurnejad's NPI number?

The NPI number for Shayan Fakurnejad is 1518596345. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Where is Shayan Fakurnejad located?

Shayan Fakurnejad practices at 3400 Bainbridge Ave Fl 3, Bronx, NY 10467. The listed phone number is (718) 920-8425.

What is Shayan Fakurnejad's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Shayan Fakurnejad enrolled in Medicare?

Yes. Shayan Fakurnejad is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Shayan Fakurnejad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shayan Fakurnejad reassigns Medicare benefits to Jefferson University Physicians (Philadelphia, PA). The 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 Shayan Fakurnejad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Shayan Fakurnejad affiliated with any hospitals?

According to CMS data, Shayan Fakurnejad is affiliated with Jefferson Health- Northeast and Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Shayan Fakurnejad was last updated on August 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.