Active NPI
Khaled a Sorour M.D.
- Critical Care Medicine (Anesthesiology) Physician
- Worcester, MA
National Provider Identifier
1275719759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Anesthesiology) Physician
- License
- 208679
- Legal business name
- KHALED A SOROUR M.D.
- Doing business as
- Critical Care Associates
- Practice address
- 123 Summer St.
Worcester, MA 01608 - Phone
- (508) 363-5000
- NPI assigned
- Jan 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Khaled A Sorour, M.D.
- Title
- Owner
- Phone
- (401) 334-1324
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | 208679 | MA | Primary |
Addresses
Primary practice location
123 Summer St.
Worcester, MA 01608
Mailing address
15 Millers Brook Drive
Cumberland, RI 02864
Phone (401) 334-1324
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 97356206 | Other | MI | NETWORK HEALTH |
| AA111924 | Other | MA | HPHC |
| 2326993 | Other | MA | CIGNA |
| 657877 | Other | MA | TUFTS |
| 43353 | Other | MA | HEALTH NEW ENGLAND |
| J25636 | Other | MA | BCBS |
Other names 1
- Critical Care Associates
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217289600000",
"number": "1275719759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 MILLERS BROOK DRIVE",
"city": "CUMBERLAND",
"state": "RI",
"postal_code": "02864",
"telephone_number": "401-334-1324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 SUMMER ST.",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01608",
"telephone_number": "508-363-5000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KHALED A SOROUR M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-15",
"last_updated": "2008-07-29",
"status": "A",
"authorized_official_last_name": "SOROUR",
"authorized_official_first_name": "KHALED",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "401-334-1324",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207LC0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "MA",
"license": "208679",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "97356206",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "AA111924",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2326993",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "657877",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND",
"identifier": "43353",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "J25636",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Critical Care Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.