Shayan Khorsandi, M.D.

Primary specialty

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X

License

021715 Issued in PR

Practice address

Carretera #2, Kilometer 39.5
Ofic. 110
Vega Baja, PR 00693

Phone

(787) 226-5425

NPI assigned

Dec 21, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

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

Specialty

Obstetrics/GynecologyAlso: Urology

Education

Stanford University School of Medicine, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Instituto Medico del Norte Inc

  • General Acute Care Hospital
  • Vega Baja, PR
  • NPI 1154309169

  Urogynecology and Reconstructive Pelvic Surgery

  Medicare reassignment NPD
• Pelvic Solution Institute, LLC

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • San Juan, PR
  • NPI 1053299164
  NPD (past) Authorized official
• Instituto Medico del Norte Inc

  • Radiology Clinic/Center
  • San Juan, PR
  • NPI 1225802606
  NPD
• Alliance Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Hainesport, NJ
  • NPI 1386000529
  NPD (past)
• Integrity Anesthesia Group, PC

  • Anesthesiology Physician
  • Manasquan, NJ
  • NPI 1649635624
  NPD (past)

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1083159305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 PLAZA SANTA CRUZ",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009766123",
            "telephone_number": "787-226-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA #2, KILOMETER 39.5",
            "address_2": "OFIC. 110",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-226-5425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5045 Route 130 Ste I",
            "address_purpose": "LOCATION",
            "city": "Delran",
            "state": "NJ",
            "postal_code": "08075",
            "country_code": "US",
            "telephone_number": "856-764-7660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHORSANDI",
        "first_name": "SHAYAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-21",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "021715",
            "primary": false
        },
        {
            "code": "2088F0040X",
            "taxonomy_group": "",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "PR",
            "license": "021715",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "PR",
            "license": "021715",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA10177800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melvin Jimenez Cordero, MD
• Natalie E. Jimenez Ruiz
• Jmheyecare
• Amarilys Jove
• Ariel O Jusino Cordova, D.M.D
• Kidshealth PSC
• Yahaira La Luz Vazquez
• Laboratorio Clinico Almirante Norte Corp
• Laboratorio Clinico Alturas Inc.
• Laboratorio Clinico del Mar II

• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Vega Baja, PR
• Providers in Vega Baja, PR by specialty
• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.