Active NPI
Ali P Shahriari, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Lauderdale Lakes, FL
National Provider Identifier
1407046345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- ME116440
- Practice address
- 3001 NW 49TH Ave
Suite 104
Lauderdale Lakes, FL 33313-7266 - Phone
- (954) 739-2273
- Fax
- (954) 739-2742
- NPI assigned
- Jul 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 01063617A | IN | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | ME116440 | FL | Primary |
Addresses
Primary practice location
3001 NW 49TH Ave
Suite 104
Lauderdale Lakes, FL 33313-7266
Mailing address
3001 NW 49TH Ave
Suite 104
Lauderdale Lakes, FL 33313-7266
Phone (954) 739-2273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200877850 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients | |
| Cardiothoracic Surgeons Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
| Cardiothoracic Surgeons Pediatrics LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Indianapolis, IN
- NPI 1770796096
-
- Pediatric Surgery Physician
- Indianapolis, IN
- NPI 1154537850
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380844800000",
"number": "1407046345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 NW 49TH AVE",
"address_2": "SUITE 104",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333137266",
"telephone_number": "954-739-2273",
"fax_number": "954-739-2742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 NW 49TH AVE",
"address_2": "SUITE 104",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333137266",
"telephone_number": "954-739-2273",
"fax_number": "954-739-2742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAHRIARI",
"first_name": "ALI",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-26",
"last_updated": "2013-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "IN",
"license": "01063617A",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "FL",
"license": "ME116440",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200877850",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lauderdale Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.