Active NPI
Bijan Sorouri, M.D.
- Specialist
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- C10003167
- Practice address
- 10 Darwin Dr
Suite C
Newark, DE 19711-6658 - Phone
- (302) 453-9171
- Fax
- (302) 453-0732
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | C10003167 | DE | Primary |
Addresses
Primary practice location
10 Darwin Dr
Suite C
Newark, DE 19711-6658
Mailing address
10 Darwin Dr
Suite C
Newark, DE 19711-6658
Phone (302) 453-9171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000059001 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- George Washington University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 Darwin Dr
Newark, DE 19711-6658
Phone (302) 453-9171
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C10003167 | DE | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bijan Sorouri M.D. P.a. | Specialist | Current | Accepting new patients |
| Corazon G. Tablang MD PC | Past | Accepting new patients | |
| Kirkwood Endoscopy Center LLC | Past | Accepting new patients |
Locations
10 Darwin Dr
Newark, DE 19711
Phone (302) 453-9171
10 Darwin Dr
Ste C
Newark, DE 19711
Phone (302) 452-9171
Organizations & group practices 3
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.
-
- Specialist
- Newark, DE
- NPI 1063717874
-
- Anesthesiology Physician
- Newark, DE
- NPI 1609020049
-
- Ambulatory Surgical Clinic/Center
- Newark, DE
- NPI 1588737753
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202860800000",
"number": "1114016615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 DARWIN DR",
"address_2": "SUITE C",
"city": "NEWARK",
"state": "DE",
"postal_code": "197116658",
"telephone_number": "302-453-9171",
"fax_number": "302-453-0732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 DARWIN DR",
"address_2": "SUITE C",
"city": "NEWARK",
"state": "DE",
"postal_code": "197116658",
"telephone_number": "302-453-9171",
"fax_number": "302-453-0732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOROURI",
"first_name": "BIJAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2008-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "DE",
"license": "C10003167",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000059001",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.