Payam Shakouri, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

273010 Issued in NY

Practice address

2585 South Rd
Suite 15a
Poughkeepsie, NY 12601-7000

Phone

(845) 454-1399

Fax

(845) 397-1333

NPI assigned

Feb 1, 2013

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

Other identifiers 2

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

NephrologyAlso: Internal Medicine

Education

Saginaw Valley Medical College - NLG, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advanced Kidney Care of Hudson Valley, PCGroup PAC ID 0143493817, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• USRC Dutchess Dialysis Dialysis facility, Poughkeepsie, NY, CCN 332633
• Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023
• Montefiore St Luke'S Cornwall Hospital, Newburgh, NY, CCN 330264
• Northern Dutchess Hospital Hospital, Rhinebeck, NY, CCN 330049
• Sharon Hospital Hospital, Sharon, CT, CCN 070004
• Westchester Medical Center Hospital, Valhalla, NY, CCN 330234

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pshakour@direct.health-quest.org

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.

• Advanced Kidney Care of Hudson Valley, PC

  • Nephrology Physician
  • Poughkeepsie, NY
  • NPI 1629357769
  Medicare reassignment Care Compare group NPD

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

• Northern Dutchess Hospital

  • General Acute Care Hospital
  • Rhinebeck, NY
  • NPI 1124072715
  Care Compare affiliation
• St. Luke'S Cornwall Hospital

  • General Acute Care Hospital
  • Newburgh, NY
  • NPI 1003923434
  Care Compare affiliation
• Vassar Brothers Hospital

  • General Acute Care Hospital
  • Poughkeepsie, NY
  • NPI 1740233899
  Care Compare affiliation
• Vassar Brothers Medical Center

  • Clinical Medical Laboratory
  • Poughkeepsie, NY
  • NPI 1780052514

  Hospital

  Care Compare affiliation
• Westchester County Health Care Corporation

  • General Acute Care Hospital
  • Valhalla, NY
  • NPI 1932280666
  Care Compare affiliation
• Vassar Health Connecticut, Inc.

  • General Acute Care Hospital
  • Sharon, CT
  • NPI 1235131442
  Care Compare affiliation

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1184963746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 ROBINSON AVE",
            "address_2": "SUITE 1",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503363",
            "telephone_number": "845-561-6196",
            "fax_number": "845-561-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 SOUTH RD",
            "address_2": "SUITE 15A",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126017000",
            "telephone_number": "845-454-1399",
            "fax_number": "845-397-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKOURI",
        "first_name": "PAYAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-01",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "273010",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "273010",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04154798",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A400121944",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saira Kate Shahani, MD
• Sehrish Shahid, MD
• Mohsin Shahzad
• Atif M Shaikh, MD
• Shakitta Holmes
• Baohong Shan, PA
• Brion Stuart Shapiro, LIC. OPTICIAN
• Saba Sharif, MD
• Arti Sharma
• Naveen Sharma, DO

• Nephrology Physician in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; 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.