Magdi Sadek Sourour, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

163533 Issued in NY

Practice address

2000 North Village Avenue
Suite 208
Rockville Center, NY 11570

Phone

(516) 766-1466

Fax

(516) 766-7655

NPI assigned

Jan 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

Pulmonary DiseaseAlso: Critical Care (Intensivists)

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Shore Home Care Chha Home health agency, Westbury, NY, CCN 337148

Merit-based Incentive Payment System (MIPS)

Final score

26.74 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

89.15

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• CHS Physician Partners, P.C

  • Cardiovascular Disease Physician
  • Roslyn, NY
  • NPI 1164585725
  NPD (past)
• Mercy Internal Medicine PC

  • Internal Medicine Physician
  • Rockville Centre, NY
  • NPI 1376734079
  NPD (past)

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

• North Shore University Hospital

  • Home Health Agency
  • Manhasset, NY
  • NPI 1417965278
  Care Compare affiliation
• North Shore University Hospital

  • Home Health Agency
  • Westbury, NY
  • NPI 1861464471
  Care Compare affiliation

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611446400000",
    "number": "1174501431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 NORTH VILLAGE AVENUE",
            "address_2": "SUITE 208",
            "city": "ROCKVILLE CENTER",
            "state": "NY",
            "postal_code": "11570",
            "telephone_number": "516-766-1466",
            "fax_number": "516-766-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 NORTH VILLAGE AVENUE",
            "address_2": "SUITE 208",
            "city": "ROCKVILLE CENTER",
            "state": "NY",
            "postal_code": "11570",
            "telephone_number": "516-766-1466",
            "fax_number": "516-766-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUROUR",
        "first_name": "MAGDI",
        "middle_name": "SADEK",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2021-01-24",
        "certification_date": "2021-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "163533",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "163533",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "163533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01019158",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Long Island Emergency Care PC
• North Shore Hematology Oncology Associates PC
• Jonathan Sandner, MD
• Robin Schlamovitz-Reiter, CSW
• Steven Seiden, M.D.
• Kristi Strong, LMHC
• Sunrise Medical Care Services PC
• Francine R. Walsh, LCSW
• Cara Susan Wolfish, O.D.
• Michele Ann-Marie Young, LPN-LICENSE PRACTICA

• Pulmonary Disease Physician in Rockville Center, NY
• Providers in Rockville Center, NY by specialty
• Pulmonary Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2021; 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.