DR. SHAHAB KHADEMI D.O.
NPI 1710243001
Anesthesiology in Scranton, PA

Q: What is Shahab Khademi's NPI number?

The NPI number for Shahab Khademi is 1710243001. It was assigned to this individual provider in the NPPES registry on April 11, 2012.

Q: What is Shahab Khademi's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Shahab Khademi was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 11, 2012PECOS EnrolledAccepts Medicare Assignment

1800 MULBERRY ST, SCRANTON, PA 18510(570) 703-8000 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 10, 2023, Aug 10, 2018, Aug 23, 2017 (3 updates tracked since 2017).

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About Dr. Shahab Khademi D.o. NPPES

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

DR. SHAHAB KHADEMI D.O. (NPI 1710243001) is an individual anesthesiology provider in Scranton, Pennsylvania, licensed in Pennsylvania (OS018663) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Vassar Brothers Medical Center, and maintains a secondary practice location in Poughkeepsie.

NPPES Registry Identity

NPI1710243001

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameDR. SHAHAB KHADEMICredential: D.O.

Location Address1800 MULBERRY STScranton, PA 18510

Mailing Address1800 Orleans St, Department Of Anesthesiology And Critical Care MedicineBaltimore, MD 21287-0010

Phone(570) 703-8000

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateApril 11, 2012

Last NPPES UpdateJuly 10, 20233 updates tracked since enumeration

NPPES CertifiedJuly 10, 2023

✔ NPI 1710243001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

Licenses✔ Licensed in PA · OS018663✔ Licensed in NY · 324100✔ Licensed in CA · 15759

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1800 MULBERRY ST, Scranton, PA 18510

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Secondary Practice Location 1

Location 145 Reade PlPoughkeepsie, NY 12601-3947 · Phone (845) 454-8500

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. Shahab Khademi D.o. 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 ID4688948359

PECOS Enrollment IDI20230720003179

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

Medicare enrollment records show Shahab Khademi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geisinger Clinic

Same address

Neurology

1800 MULBERRY ST
Scranton, PA 18510

Reassigned Medicare billing, Pennsylvania enrollment
4,429 clinicians in this Medicare group

NPI 1023067493 (570) 703-8888

North American Partners In Anesthesia LLP

124 mi

Anesthesiology

1305 WALT WHITMAN RD STE 300
Melville, NY 11747

Reassigned Medicare billing, New York enrollment
508 clinicians in this Medicare group

NPI 1649264706 (516) 945-3000

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

Areas of Expertise CMS Part B claims 9

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.

Insertion of artery tube for blood sampling or infusion through skin 36620

This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.

42 services41 patients

Anesthesia for x-ray on artery of brain, heart, or chest 01926

Anesthesia is given before an x-ray of the brain, heart, or chest artery to ensure comfort and stillness. It helps to eliminate discomfort or pain during the procedure. It's administered by a trained professional, ensuring a safe and smooth procedure.

27 services27 patients

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556

This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.

18 services18 patients

Anesthesia for procedure on heart and large blood vessels 00560

Anesthesia for heart and large blood vessel procedures involves using medications to block sensation, ensuring you don't feel pain during surgery. It can be general (you're asleep) or regional (part of your body is numbed). It helps ensure comfort and safety throughout the operation.

17 services17 patients

Anesthesia for other procedure on lower abdomen 00840

Anesthesia for a lower abdomen procedure involves medication to eliminate pain during surgery. You might be awake but relaxed and pain-free, or you may be completely unconscious. It's administered to ensure comfort and safety throughout the operation.

17 services17 patients

Insertion of probe in esophagus for heart ultrasound 93313

This procedure involves placing a small probe in your esophagus. The probe, connected to an ultrasound machine, helps capture detailed images of your heart. This non-surgical, minimally invasive procedure provides valuable information about your heart's structure and function.

17 services17 patients

Hospital Affiliations CMS Care Compare

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

Vassar Brothers Medical Center

Acute Care Hospitals · Poughkeepsie, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330023

Location45 Reade PlacePoughkeepsie, NY 12601 · Dutchess County

Emergency services Birthing friendly

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. RAJAGOPALAN RENGAN D.O

Internal Medicine (Pulmonary Disease)