Individual provider Active NPI

Roxane Irene Shirazi, DO

  • Obstetrics & Gynecology Physician
  • York, PA
National Provider Identifier
1578186003
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS023936 Issued in PA
Practice address
1001 S George St
York, PA 17403-3676
Phone
(717) 812-3499
NPI assigned
May 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OS023936 PA Primary

Addresses

Primary practice location

1001 S George St
York, PA 17403-3676

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

13515 Wolfe Rd Ste D
New Freedom, PA 17349-9346
Phone (717) 812-2540

Other practice location 2

1693 S Queen St
York, PA 17403-4609
Phone (717) 845-1621

Other practice location 3

2050 S Queen St Ste 200
York, PA 17403-4829
Phone (717) 812-2316

Other practice location 4

3992 Carlisle Rd
Dover, PA 17315-3506
Phone (717) 851-7260

Other practice location 5

4222 Lincoln Hwy
York, PA 17406-8083
Phone (717) 812-7800

Other practice location 6

1227 Baltimore St
Hanover, PA 17331-4406
Phone (717) 633-1433

Other practice location 7

1101 Edgar St
York, PA 17403-2862
Phone (717) 812-4602

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
I20240816001295 PA Practitioner - Obstetrics/Gynecology 8123442654 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

2050 S Queen St
200 Wellspan OB/GYN
York, PA 17403-4829
Phone (717) 812-2316

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Sep 23, 2024 Accepting new patients
Wellspan Medical Group CurrentSince Sep 23, 2024 Accepting new patients
York Hospital CurrentSince Oct 20, 2024 Accepting new patients
Wellspan Medical Group Current Accepting new patients
York Hospital CurrentSince Oct 20, 2024 Accepting new patients
Wellspan Medical Group Past Accepting new patients

Locations

1227 Baltimore St
Hanover, PA 17331
Phone (717) 646-4204

13515 Wolfe Rd
Ste D
New Freedom, PA 17349
Phone (717) 812-2540

1001 S George St
York, PA 17403
Phone (717) 812-7687

4222 Lincoln Hwy
York, PA 17406
Phone (717) 812-2050

605 S George St
Ste 200
York, PA 17401
Phone (717) 851-2334

2050 S Queen St
#200
York, PA 17403
Phone (717) 812-2316

1693 S Queen St
York, PA 17403
Phone (717) 356-5330

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

1101 Edgar St
#E
York, PA 17403
Phone (717) 812-4602

1600 S George St
York, PA 17403
Phone (717) 848-3615

1101 Edgar St
York, PA 17403
Phone (717) 812-4602

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

3992 Carlisle Rd
York, PA 17315
Phone (717) 292-7494

Interoperability endpoints

  • Direct secure messaging: rshirazi189782@wellspan.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1578186003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174033676",
            "telephone_number": "717-812-3499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13515 Wolfe Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "New Freedom",
            "state": "PA",
            "postal_code": "173499346",
            "country_code": "US",
            "telephone_number": "717-812-2540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1693 S Queen St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174034609",
            "country_code": "US",
            "telephone_number": "717-845-1621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2050 S Queen St Ste 200",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174034829",
            "country_code": "US",
            "telephone_number": "717-812-2316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3992 Carlisle Rd",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "PA",
            "postal_code": "173153506",
            "country_code": "US",
            "telephone_number": "717-851-7260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4222 Lincoln Hwy",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174068083",
            "country_code": "US",
            "telephone_number": "717-812-7800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1227 Baltimore St",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173314406",
            "country_code": "US",
            "telephone_number": "717-633-1433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Edgar St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174032862",
            "country_code": "US",
            "telephone_number": "717-812-4602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIRAZI",
        "first_name": "ROXANE",
        "middle_name": "IRENE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-19",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OS023936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.