Individual provider Active NPI

Shirin Felizadeh, M.D.

  • Family Medicine Physician
  • Smyrna, DE
National Provider Identifier
1306533021
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C1-0028913 Issued in DE
Practice address
100 S Main St Ste 207
Smyrna, DE 19977-1479
Phone
(302) 659-4490
Fax
(302) 659-4495
NPI assigned
Apr 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C1-0028913 DE Primary

Addresses

Primary practice location

100 S Main St Ste 207
Smyrna, DE 19977-1479

Mailing address

100 S Main St Ste 207
Smyrna, DE 19977-1479
Phone (302) 659-4490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20231101002187 PA Order and Referring Only - Family PracticePractitioner - Family Practice 1557717246

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 S Main St
Suite 207
Smyrna, DE 19977-1479

4000 Nexus Dr
Wilmington, DE 19803-3000

Hospital & facility affiliations

National Provider Directory

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

Hospital & facility affiliations 1

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": "1682035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1306533021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S MAIN ST STE 207",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771479",
            "telephone_number": "302-659-4490",
            "fax_number": "302-659-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MAIN ST STE 207",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771479",
            "telephone_number": "302-659-4490",
            "fax_number": "302-659-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELIZADEH",
        "first_name": "SHIRIN",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-21",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1-0028913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, DE

Sources for this page

Verify at the official NPI Registry.