Michelle Srour, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86110248 Issued in NY

Practice address

1122 Avenue P
Brooklyn, NY 11229-1025

Phone

(718) 377-2834

NPI assigned

Mar 4, 2024

Last updated

Mar 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Medical Diagnostics, PLLCGroup PAC ID 9032347158, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• American Medical Diagnostics PLLC

  • Nephrology Physician
  • Brooklyn, NY
  • NPI 1922436591
  Medicare reassignment Care Compare group NPD
• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1336906692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 E 22ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291526",
            "telephone_number": "646-229-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291025",
            "telephone_number": "718-377-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SROUR",
        "first_name": "MICHELLE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86110248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sudarshan Srikanth Srivats, M.D.
• Rivka Srour-Alfih, MS, CCC-SLP
• Esther Srour
• Gabriel Srour
• Jennifer Frieda Srour
• Orit Srour, M.S.
• Sarah Srour
• Susan Srour
• SRSB Services Inc.
• Sruthi and Swaroop Pharmacy Inc (Rutland Pharmacy)

• Registered Dietitian in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.