Individual provider Active NPI

Shirin Razdan, MD

  • Urology Physician
  • Doral, FL
National Provider Identifier
1053815621
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME166727 Issued in FL
Practice address
3650 NW 82ND Ave Ste Ph501
Doral, FL 33166-6658
Phone
(305) 251-8650
Fax
(305) 251-8913
NPI assigned
Mar 20, 2018
Last updated
Apr 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME166727 FL Primary

Addresses

Primary practice location

3650 NW 82ND Ave Ste Ph501
Doral, FL 33166-6658

Mailing address

3650 NW 82ND Ave Ste Ph501
Doral, FL 33166-6658
Phone (305) 251-8650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240416002748 FL Practitioner - Urology 8729324702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Miami, LM Miller School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSR Consultants IncGroup PAC ID 2668479585, 2 clinicians

Practice addresses (Care Compare)

3650 NW 82ND Ave
Suite Ph501
Doral, FL 33166-6658
Phone (305) 251-8650

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME166727FLMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
International Research Partners, LLC Current Accepting new patients
SSR Consultants Inc Urology CurrentSince Jun 1, 2024 Accepting new patients

Locations

3650 NW 82nd Ave
Ste 501
Doral, FL 33166
Phone (305) 251-8650

Interoperability endpoints

  • Direct secure messaging: shirinrazdan@introbpros.medalliesdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1053815621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 NW 82ND AVE STE PH501",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666658",
            "telephone_number": "305-251-8650",
            "fax_number": "305-251-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 NW 82ND AVE STE PH501",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666658",
            "telephone_number": "305-251-8650",
            "fax_number": "305-251-8913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZDAN",
        "first_name": "SHIRIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME166727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.