Individual provider Active NPI

Erika Nourishirazi

  • Surgery Physician
  • Boca Raton, FL
National Provider Identifier
1225564875
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
BP10059656 Issued in TX
Practice address
21020 State Road 7 Ste 200B
Boca Raton, FL 33428-1320
Phone
(561) 482-1728
Fax
(561) 482-6143
NPI assigned
May 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X BP10059656 TX Primary

Addresses

Primary practice location

21020 State Road 7 Ste 200B
Boca Raton, FL 33428-1320

Mailing address

21020 State Road 7 # 200B
Boca Raton, FL 33428-1320

Other practice location 1

21020 State Road 7 # 200B
Boca Raton, FL 33428-1320
Phone (956) 362-3571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230816003760 FL Practitioner - Surgical OncologyPractitioner - General Surgery 6204105463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Surgical OncologyAlso: General Surgery
Education
University of Miami, LM Miller School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesiscare USA of Florida LLCGroup PAC ID 9830082882, 172 clinicians

Practice addresses (Care Compare)

21020 State Rd
7 Suite 200B
Boca Raton, FL 33428-1320
Phone (561) 482-1728

Hospital & facility affiliations

  • Delray Medical Center Hospital, Delray Beach, FL, CCN 100258
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168
  • Good Samaritan Medical Center Hospital, West Palm Beach, FL, CCN 100287

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10059656TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesiscare USA of Florida LLC CurrentSince Sep 1, 2023 Accepting new patients
Genesiscare USA of Florida LLC CurrentSince Sep 1, 2023 Accepting new patients
Genesiscare USA of Florida LLC Surgery Current Accepting new patients
Genesiscare USA of Florida LLC Past Accepting new patients

Locations

21020 State Road 7
#200B
Boca Raton, FL 33428
Phone (956) 362-3571

21020 State Road 7
Ste 200B
Boca Raton, FL 33428
Phone (561) 482-1728

9980 Central Park Blvd N
Ste 114
Boca Raton, FL 33428
Phone (561) 420-8770

1419 SE 8th Ter
Cape Coral, FL 33990
Phone (239) 772-3202

2101 Riverside Dr
#101
Coral Springs, FL 33071
Phone (954) 341-6200

2270 Colonial Blvd
Fort Myers, FL 33907
Phone (239) 344-2391

730 Goodlette Rd
Ste 201
Naples, FL 34102
Phone (239) 262-1119

10141 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 439-1500

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: enourishirazi298453@direct.phhs.org

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1225564875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21020 STATE ROAD 7 # 200B",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21020 STATE ROAD 7 STE 200B",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281320",
            "telephone_number": "561-482-1728",
            "fax_number": "561-482-6143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21020 State Road 7 # 200B",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334281320",
            "country_code": "US",
            "telephone_number": "956-362-3571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOURISHIRAZI",
        "first_name": "ERIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-02",
        "last_updated": "2024-04-23",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "BP10059656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.