Active NPI
Khaled A Sorour, MD
- Critical Care Medicine (Anesthesiology) Physician
- Brockton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Anesthesiology) Physician
- License
- MD10810
- Practice address
- 680 Centre St
Anesthetics of Brockton, PC
Brockton, MA 02302-3308 - Phone
- (508) 941-7656
- Fax
- (508) 941-6345
- NPI assigned
- May 1, 2006
- Last updated
- Oct 11, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD10810 | RI | |
| Anesthesiology Physician | 207L00000X | 208679 | MA | |
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | 208679 | MA | |
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | MD10810 | RI | Primary |
Addresses
Primary practice location
680 Centre St
Anesthetics of Brockton, PC
Brockton, MA 02302-3308
Mailing address
15 Millers Brook Dr
Cumberland, RI 02864-6158
Other practice location 1
1 Boston Medical Ctr Pl
Boston, MA 02118-2908
Phone (617) 638-6950
Other practice location 2
41 Mall Rd
Burlington, MA 01805-3308
Phone (781) 744-8000
Other practice location 3
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 453-7950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110037805A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, RI, NY, CA, NH, TN, PA, CT, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 9
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Marcela Dr
Willits, CA 95490-5769
Phone (707) 459-6801
1000 Physicians Way
Franklin, TN 37067-1471
Phone (401) 692-5292
123 Summer St
Worcester, MA 01608-1216
Phone (508) 363-9394
15630 18TH Ave
Clearlake, CA 95422-9336
Phone (707) 994-6486
180 Rowland Way
Novato, CA 94945-5009
Phone (415) 209-1300
1850 Normandie Dr
York, PA 17408-1534
Phone (401) 692-5292
19270 Sonoma Hwy
Sonoma, CA 95476
Phone (707) 939-6070
2 Rehab Way
Woburn, MA 01801-6003
Phone (401) 692-5292
2109 Hartford Ave
Johnston, RI 02919-3246
Phone (401) 692-5292
211 Park St
Attleboro, MA 02703-3143
Phone (508) 222-5200
254 Pleasant St
Concord, NH 03301-2551
Phone (401) 692-5292
335 Brighton Ave
Suite 201
Portland, ME 04102-2365
Phone (401) 692-5292
50 Reserve Rd
Danbury, CT 06810-5182
Phone (401) 692-5292
680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7642
700 River Dr
Fort Bragg, CA 95437-5403
Phone (707) 961-1234
Hospital & facility affiliations
- Old Colony Hospice, Inc
- Signature Healthcare Brockton Hospital
- St Vincent Hospital
- Sturdy Memorial Hospital
- Beth Israel Deaconess Medical Center
- Brigham and Women's Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82608 | CT | MD | Registered Nurse |
| 74218 | TN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lahey Clinic, Inc | Current | Accepting new patients | |
| Incare Tufts PLLC | Current | Accepting new patients | |
| Affinity Physicians LLC. | Anesthesiology | Current | Accepting new patients |
| Anna Jaques Inpatient Specialists PLLC | Current | Accepting new patients | |
| Associated Physicians of Harvard Medical Faculty Physicians at Beth Is | Current | Accepting new patients | |
| Great Lakes Anesthesiology, PC | Current | Accepting new patients | |
| Pratt Anesthesiology Associates, Inc | Anesthesiology | Current | Accepting new patients |
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Boston Medical Center Corporation | Current | Accepting new patients | |
| Hospitalist Physicians of Massachusetts PC | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Critical Care Medicine | Current | Accepting new patients |
| Nantucket Cottage Hospital | Current | Accepting new patients | |
| Lawrence Anesthesia Services, LLC | Anesthesiology | Current | Accepting new patients |
| Emerson Practice Associates, Inc. | Current | Accepting new patients | |
| Lahey Clinic, Inc. | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Associated Physicians of Harvard Medical Faculty Physicians at Beth Is | Anesthesiology | Current | Accepting new patients |
| ICU on Demand, PLLC | Critical Care Medicine | Current | Accepting new patients |
| Incare LLC | Current | Accepting new patients | |
| Matrix Anesthesia, PC | Anesthesiology | Current | Accepting new patients |
| Atlantic Anesthesia, P.C. | Anesthesiology | Current | Accepting new patients |
| Incare Lawrence PLLC | Current | Accepting new patients | |
| Associated Physicians of Harvard Medical Faculty Physicians at Beth Is | Current | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Kent County Memorial Hospital | Past | Accepting new patients | |
| Brockton Hospital, Inc. | Past | Accepting new patients | |
| Nantucket Anesthesia Associates,PC | Past | Accepting new patients | |
| Anesthetics of Massachusetts, PC | Anesthesiology | Past | Accepting new patients |
Locations (25 of 34)
800 Washington St
Boston, MA 02111
Phone (617) 636-4800
680 Centre St
Brockton, MA 02302
Phone (508) 941-7400
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
133 Ornac
Concord, MA 01742
Phone (978) 287-3000
363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052
534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766
140 Lincoln Ave
Haverhill, MA 01830
Phone (978) 374-2000
295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344
585 Lebanon St
Melrose, MA 02176
Phone (781) 979-3026
70 East St
Methuen, MA 01844
Phone (978) 682-1906
57 Prospect St
Nantucket, MA 02554
Phone (508) 228-1200
101 Page St
New Bedford, MA 02740
Phone (508) 961-5425
25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734
565 Turnpike St
Ste 85
North Andover, MA 01845
Phone (978) 519-4114
100 Morse St
Norwood, MA 02062
Phone (781) 255-0362
1 Boston Medical Ctr Pl
Roxbury, MA 02118
Phone (617) 414-5245
125 Parker Hill Ave
Roxbury Xing, MA 02120
Phone (617) 264-1100
211 Park St
South Attleboro, MA 02703
Phone (508) 222-5200
340 Thompson Rd
Webster, MA 01570
Phone (508) 943-2600
2 Rehabilitation Way
Woburn, MA 01801
Phone (781) 935-5050
123 Summer St
Worcester, MA 01608
Phone (508) 363-6000
189 May St
Worcester, MA 01602
Phone (508) 471-9254
335 Brighton Ave
Ste 201
Portland, ME 04102
Phone (207) 662-8660
254 Pleasant St
Concord, NH 03301
Phone (603) 226-9700
2 Centre Plz
Tinton Falls, NJ 07724
Phone (732) 460-5320
Interoperability endpoints
- https://api.platform.athenahealth.com/18780/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/CFFBDD
- ksorour199689@direct.bilh.masshiway.net
- ksorour234347@direct.bmc.masshiway.net
- ksorour93801@tuftsmedicine.direct-ci.com
- sorour.khaled.nch@direct.partners.masshiway.net
Organizations & group practices 31
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.
-
- Anesthesiology Physician
- Norwood, MA
- NPI 1700061652
-
- Hospitalist Physician
- Framingham, MA
- NPI 1376145680
-
- Critical Care Medicine (Anesthesiology) Physician
- Westwood, MA
- NPI 1609692045
CT, ME, NH, PA, RI, TN
-
- Anesthesiology Physician
- Brockton, MA
- NPI 1700028032
-
- Anesthesiology Physician
- Clearlake, CA
- NPI 1326404948
-
dba APHMFP-Radiology
- Diagnostic Radiology Physician
- Milton, MA
- NPI 1245773308
-
- Internal Medicine Physician
- Concord, MA
- NPI 1508020199
-
- Pulmonary Disease Physician
- North Andover, MA
- NPI 1730765496
-
- Internal Medicine Physician
- North Andover, MA
- NPI 1639655467
-
- Internal Medicine Physician
- North Andover, MA
- NPI 1164305611
-
- Internal Medicine Physician
- Peabody, MA
- NPI 1063447316
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
dba Signature Healthcare Brockton Hospital
- General Acute Care Hospital
- Brockton, MA
- NPI 1063431286
-
- General Acute Care Hospital
- Attleboro, MA
- NPI 1730106162
-
dba Saint Vincent Hospital
- General Acute Care Hospital
- Worcester, MA
- NPI 1538131214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696982400000",
"number": "1508823717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 MILLERS BROOK DR",
"city": "CUMBERLAND",
"state": "RI",
"postal_code": "028646158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 CENTRE ST",
"address_2": "ANESTHETICS OF BROCKTON, PC",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023023308",
"telephone_number": "508-941-7656",
"fax_number": "508-941-6345"
}
],
"practiceLocations": [
{
"address_1": "1 Boston Medical Ctr Pl",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021182908",
"country_code": "US",
"telephone_number": "617-638-6950",
"fax_number": "617-638-6966",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "41 Mall Rd",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "MA",
"postal_code": "018053308",
"country_code": "US",
"telephone_number": "781-744-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "455 Toll Gate Rd",
"address_purpose": "LOCATION",
"city": "Warwick",
"state": "RI",
"postal_code": "028862759",
"country_code": "US",
"telephone_number": "401-453-7950",
"fax_number": "401-453-7658",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOROUR",
"first_name": "KHALED",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2023-10-11",
"certification_date": "2023-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "RI",
"license": "MD10810",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MA",
"license": "208679",
"primary": false
},
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "MA",
"license": "208679",
"primary": false
},
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "RI",
"license": "MD10810",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110037805A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.