Pezhman Shoureshi, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2795 Issued in TN

Practice address

990 Elliston Way Ste 101
Thompsons Station, TN 37179-5482

Phone

(615) 905-8083

NPI assigned

Jun 13, 2010

Last updated

Dec 3, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Dermatology

Education

Lake Erie College of Osteopathic Medicine, Erie, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harpeth Valley Dermatology PLLCGroup PAC ID 2163849142, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00147

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.

• Harpeth Valley Dermatology PLLC

  • Dermatology Physician
  • Thompsons Station, TN
  • NPI 1003436932
  Medicare reassignment Care Compare group NPD
• Harpeth Valley Dermatology PLLC

  • Dermatology Physician
  • Smyrna, TN
  • NPI 1356964274
  NPD

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

{
    "created_epoch": "1276387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1093036105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515A HIGHLAND TERRACE",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "37130",
            "telephone_number": "540-951-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 ELLISTON WAY STE 101",
            "city": "THOMPSONS STATION",
            "state": "TN",
            "postal_code": "371795482",
            "telephone_number": "615-905-8083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "741 President Pl Ste 140",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "TN",
            "postal_code": "371676808",
            "country_code": "US",
            "telephone_number": "615-905-8083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOURESHI",
        "first_name": "PEZHMAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-13",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "2795",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0116022668",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samaritan Laboratories LLC (Asperio Laboratories)
• Sandra Sanderson, MSN, APRN, FNP-C
• Alisa Schwass
• Lanley Scroggins
• Kyndal Seacrist
• Small Talk Therapies LLC
• Square One Therapy, LLC
• Ashley Sutton
• Dawn M. Swendsen, APRN, CNM
• T Brinke Investments LLC (Cornerstone Medical & Weight Loss)

• Dermatology Physician in Thompsons Station, TN
• Providers in Thompsons Station, TN by specialty
• Dermatology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.