Individual provider Active NPI

Khaled A Sorour, MD

  • Critical Care Medicine (Anesthesiology) Physician
  • Brockton, MA
National Provider Identifier
1508823717
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Anesthesiology) PhysicianTaxonomy code 207LC0200X
License
MD10810 Issued in RI
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
110037805AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI, NY, CA, NH, TN, PA, CT, ME9 enrollments
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 9

Enrollment IDStateProvider typePAC IDDetails
I20050223000492 MA Practitioner - Emergency MedicinePractitioner - AnesthesiologyPractitioner - Critical Care (Intensivists)Practitioner - Hospitalist 4284687864 Reassigns benefits to 14 organizations
I20180228000808 RI Practitioner - Emergency MedicinePractitioner - AnesthesiologyPractitioner - Critical Care (Intensivists)Practitioner - Hospitalist 4284687864 Reassigns benefits to 3 organizations
I20230516002232 NY Practitioner - Anesthesiology 4284687864 Reassigns benefits to 1 organization
I20240109003042 CA Practitioner - Anesthesiology 4284687864 Reassigns benefits to 1 organization
I20250825003229 NH Practitioner - Emergency MedicinePractitioner - Critical Care (Intensivists) 4284687864 Reassigns benefits to 1 organization
I20251113004123 TN Practitioner - Emergency MedicinePractitioner - HospitalistPractitioner - Critical Care (Intensivists) 4284687864 Reassigns benefits to 1 organization
I20251205002836 PA Practitioner - Emergency Medicine 4284687864 Reassigns benefits to 1 organization
I20260106002186 CT Practitioner - Emergency MedicinePractitioner - Critical Care (Intensivists)Practitioner - Hospitalist 4284687864 Reassigns benefits to 1 organization
I20260106003379 ME Practitioner - Emergency MedicinePractitioner - Critical Care (Intensivists)Practitioner - Hospitalist 4284687864 Reassigns benefits to 1 organization

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
Medical Specialists Associates PCGroup PAC ID 1557669439, 8 clinicians
ICU on Demand, PLLCGroup PAC ID 3072043983, 8 clinicians
Hospitalist Physicians of Massachusetts PCGroup PAC ID 4183038359, 84 clinicians
Atlantic Anesthesia PCGroup PAC ID 9638255300, 33 clinicians
Matrix Anesthesia PCGroup PAC ID 8820136377, 52 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
82608CTMDRegistered Nurse
74218TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lahey Clinic, Inc CurrentSince May 8, 2023 Accepting new patients
Incare Tufts PLLC CurrentSince Aug 25, 2025 Accepting new patients
Affinity Physicians LLC. Anesthesiology Current Accepting new patients
Anna Jaques Inpatient Specialists PLLC CurrentSince Apr 1, 2021 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is Current Accepting new patients
Great Lakes Anesthesiology, PC CurrentSince May 1, 2023 Accepting new patients
Pratt Anesthesiology Associates, Inc Anesthesiology CurrentSince Jun 1, 2023 Accepting new patients
Southcoast Physicians Group, Inc. Current Accepting new patients
Boston Medical Center Corporation Current Accepting new patients
Hospitalist Physicians of Massachusetts PC CurrentSince Aug 4, 2025 Accepting new patients
Lifespan Physician Group, Inc. Critical Care Medicine CurrentSince Dec 15, 2021 Accepting new patients
Nantucket Cottage Hospital Current Accepting new patients
Lawrence Anesthesia Services, LLC Anesthesiology CurrentSince Jun 19, 2023 Accepting new patients
Emerson Practice Associates, Inc. CurrentSince Dec 2, 2022 Accepting new patients
Lahey Clinic, Inc. CurrentSince May 8, 2023 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Dec 15, 2021 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is Anesthesiology CurrentSince Apr 1, 2023 Accepting new patients
ICU on Demand, PLLC Critical Care Medicine CurrentSince Dec 3, 2024 Accepting new patients
Incare LLC CurrentSince May 1, 2023 Accepting new patients
Matrix Anesthesia, PC Anesthesiology CurrentSince Mar 8, 2015 Accepting new patients
Atlantic Anesthesia, P.C. Anesthesiology CurrentSince Feb 17, 2023 Accepting new patients
Incare Lawrence PLLC CurrentSince May 1, 2023 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Apr 1, 2023 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Sep 1, 2024 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

  • FHIR API: https://api.platform.athenahealth.com/18780/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/CFFBDD
  • Direct secure messaging: ksorour199689@direct.bilh.masshiway.net
  • Direct secure messaging: ksorour234347@direct.bmc.masshiway.net
  • Direct secure messaging: ksorour93801@tuftsmedicine.direct-ci.com
  • Direct secure messaging: 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.

View all 31

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.