Active NPI
Pouran Nadji Nowroozi, MD
- Obstetrics & Gynecology Physician
- Norfolk, VA
National Provider Identifier
1184690661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 0101034539
- Practice address
- 160 Kingsley LN
Suite 205 Depaul Atrium
Norfolk, VA 23505-4600 - Phone
- (757) 625-0557
- Fax
- (757) 625-1361
- NPI assigned
- Feb 24, 2006
- Last updated
- Jan 27, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 0101034539 | VA | Primary |
Addresses
Primary practice location
160 Kingsley LN
Suite 205 Depaul Atrium
Norfolk, VA 23505-4600
Mailing address
PO Box 936
Norfolk, VA 23501-0936
Phone (757) 625-0557
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PAR | Other | VA | FIRST HEALTH COMMERCIAL/SOUTHERN HEALT/COVENTRY |
| PAR | Other | VA | TRICARE/CHAMPUS |
| PAR | Other | VA | MULTIPLAN |
| 14361 | Other | VA | SENTARA OPTIMA |
| PAR | Other | VA | VIRGINIA PREMIER HEALTH |
| PAR | Other | VA | VIRGINIA HEALTH NETWORK |
| PAR | Other | VA | CORVEL/CORCARE |
| 2146283 | Other | VA | UHC/MAMSI |
| PAR | Other | VA | CIGNA |
| PAR | Other | VA | USA MANAGED CARE |
| 064NF | Other | NC | BC/BS |
| 10003529 | Other | VA | SENTARA OPTIMA |
| 1184690661 | Medicaid | VA | |
| 258983 | Other | VA | ANTHEM |
| PAR | Other | VA | AETNA |
| 006206972 | Medicaid | VA | |
| 89064NF | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233014400000",
"number": "1184690661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 936",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235010936",
"telephone_number": "757-625-0557",
"fax_number": "757-625-1361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 KINGSLEY LN",
"address_2": "SUITE 205 DEPAUL ATRIUM",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235054600",
"telephone_number": "757-625-0557",
"fax_number": "757-625-1361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWROOZI",
"first_name": "POURAN",
"middle_name": "NADJI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-24",
"last_updated": "2009-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "VA",
"license": "0101034539",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH COMMERCIAL/SOUTHERN HEALT/COVENTRY",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE/CHAMPUS",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA OPTIMA",
"identifier": "14361",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA PREMIER HEALTH",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA HEALTH NETWORK",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORVEL/CORCARE",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC/MAMSI",
"identifier": "2146283",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USA MANAGED CARE",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "064NF",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA OPTIMA",
"identifier": "10003529",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1184690661",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "258983",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "PAR",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006206972",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89064NF",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.