PEDRAM SHADIBAKHSH FNP
NPI 1801408000
Nurse Practitioner - Family in Brooklyn, NY
About Pedram Shadibakhsh Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEDRAM SHADIBAKHSH FNP (NPI 1801408000) is an individual family provider in Brooklyn, New York, licensed in New York (346452) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
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
Pedram Shadibakhsh Fnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Pedram Shadibakhsh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Brooklyn, NY 11210
- Reassigned Medicare billing, New York enrollment
- 279 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Pedram Shadibakhsh's NPI number?
The NPI number for Pedram Shadibakhsh is 1801408000. It was assigned to this individual provider in the NPPES registry on August 19, 2020.
Where is Pedram Shadibakhsh located?
Pedram Shadibakhsh practices at 1078 E 32nd St, Brooklyn, NY 11210. The listed phone number is (917) 450-2219.
What is Pedram Shadibakhsh's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Pedram Shadibakhsh enrolled in Medicare?
Yes. Pedram Shadibakhsh 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 Pedram Shadibakhsh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pedram Shadibakhsh reassigns Medicare benefits to Ahava Medical And Rehabilitation Center, LLC (Brooklyn, NY). 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 Pedram Shadibakhsh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Pedram Shadibakhsh was last updated on August 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Pedram Shadibakhsh, FNP · NPI 1801408000
Family physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since August 19, 2020.
## Identity
- **NPI:** 1801408000 (Entity type: Individual)
- **Enumerated:** August 19, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 346452 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1078 E 32ND ST, Brooklyn, NY 11210-4131
- **Phone:** (917) 450-2219
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ahava Medical And Rehabilitation Center, LLC (NPI 1184878274, Brooklyn, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** August 19, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1801408000) · Data from the CMS NPPES public registry.