Individual provider Active NPI

Nahid Shahrooz, MD

  • Dermatology Physician
  • Leawood, KS
National Provider Identifier
1649272097
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
04-36760 Issued in KS
Practice address
11501 Granada St
Leawood, KS 66211-1454
Phone
(913) 451-3722
Fax
(913) 451-5000
NPI assigned
Aug 15, 2005
Last updated
Jul 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 04-36760 KS Primary

Addresses

Primary practice location

11501 Granada St
Leawood, KS 66211-1454

Mailing address

11501 Granada St
Leawood, KS 66211-1454
Phone (913) 451-3722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20140605000652 KS Practitioner - Dermatology 6800833435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Plastic Surgeons PAGroup PAC ID 4486642006, 7 clinicians

Practice addresses (Care Compare)

11501 Granada St
Leawood, KS 66211-1454
Phone 9134513722118

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions259
Removal or shaving of skin growth48
Skin biopsy33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-36760KSMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Plastic Surgeons PA CurrentSince May 1, 2014 Accepting new patients
Associated Plastic Surgeons PA PastSince May 1, 2014 Accepting new patients
Shahrooz Dermatology Center PC Dermatology Past Accepting new patients

Locations

11501 Granada St
Leawood, KS 66211
Phone (913) 321-8765

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1649272097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11501 GRANADA ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111454",
            "telephone_number": "913-451-3722",
            "fax_number": "913-451-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11501 GRANADA ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111454",
            "telephone_number": "913-451-3722",
            "fax_number": "913-451-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHROOZ",
        "first_name": "NAHID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KS",
            "license": "04-36760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

Verify at the official NPI Registry.