Individual provider Active NPI

Poroshat Shekarloo, M.D

  • Obstetrics Physician
  • Brooklyn, NY
National Provider Identifier
1154687663
Registry record updated Nov 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
285305-1 Issued in NY
Practice address
56 Battery Ave
Brooklyn, NY 11228-3511
Phone
(510) 882-7500
NPI assigned
Apr 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 285305-1 NY Primary

Addresses

Primary practice location

56 Battery Ave
Brooklyn, NY 11228-3511

Mailing address

4802 10TH Avenue
Brooklyn, NY 11219
Phone (171) 828-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20190314001703 NY Practitioner - Obstetrics/Gynecology 1759621519 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Be Well Primary Health Care Center LLCGroup PAC ID 2062305030, 44 clinicians

Practice addresses (Care Compare)

1577 Fulton St
Brooklyn, NY 11213-1125
Phone (347) 915-1411

3007 Farragut Rd
Brooklyn, NY 11210-1537
Phone (718) 434-0711

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
285305-1NYMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MMC OB-GYN Faculty Practice Plan CurrentSince Dec 30, 2018 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Dec 30, 2018 Accepting new patients
Be Well Primary Health Care Center, LLC CurrentSince Mar 21, 2025 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Goldstep Ambulatory Surgery Center, LLC CurrentSince Jun 19, 2025 Accepting new patients

Locations

3007 Farragut Rd
Brooklyn, NY 11210
Phone (347) 915-1177

967 48th St
Fl 2
Brooklyn, NY 11219
Phone (718) 283-7979

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

1616A Voorhies Ave
Brooklyn, NY 11235
Phone (718) 283-8225

1577 Fulton St
Brooklyn, NY 11213
Phone (347) 915-1411

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: poroshatshekarloo@mai.allscriptsdirect.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511308800000",
    "number": "1154687663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4802 10TH AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11219",
            "telephone_number": "171-828-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 BATTERY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283511",
            "telephone_number": "510-882-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEKARLOO",
        "first_name": "POROSHAT",
        "name_prefix": "Ms.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2017-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NY",
            "license": "285305-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.