NPIMap

Individual provider Active NPI

Sheereen Laura Azimpoor, M.D.

  • Diagnostic Radiology Physician
  • Louisville, KY
National Provider Identifier
1790770337
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D0060197 Issued in MD
Practice address
530 S Jackson St # C07
Louisville, KY 40202-1675
Phone
(502) 852-8275
NPI assigned
Sep 20, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D0060197 MD Primary

Addresses

Primary practice location

530 S Jackson St # C07
Louisville, KY 40202-1675

Mailing address

PO Box 21249
Louisville, KY 40221-0249
Phone (301) 983-0322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040903000461 DC Practitioner - Diagnostic Radiology 6709852403 Reassigns benefits to 1 organization
I20080716000439 KY Practitioner - Diagnostic Radiology 6709852403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical School at San Antonio, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Louisville Physicians IncGroup PAC ID 3476725599, 1,438 clinicians

Practice addresses (Care Compare)

601 S Floyd St
Suite 805
Louisville, KY 40202-1845
Phone (502) 852-7309

9604 Conestoga Way
Potomac, MD 20854-4736
Phone 502581150016

Hospital & facility affiliations

  • University of Louisville Hospital Hospital, Louisville, KY, CCN 180141
  • UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040
  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0060197MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. Diagnostic Radiology CurrentSince Nov 1, 2012 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Nov 1, 2012 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
DRS Groover Christie & Merritt PC Diagnostic Radiology Past Accepting new patients
DRS Korsower & Pion Radiology PA Diagnostic Radiology Past Accepting new patients
Southern Maryland Professional Rad Diagnostic Radiology Past Accepting new patients
Johns Hopkins University Diagnostic Radiology Past Accepting new patients
Southern Radiology MRI Partnership Diagnostic Radiology Past Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology Past Accepting new patients
Medical Faculty Associates, Inc Past Accepting new patients
Montgomery-Community Magnetic Imaging CNTR LTD Partnership Diagnostic Radiology Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

530 S Jackson St
Ste CO7
Louisville, KY 40202

601 S Floyd St
Ste 805
Louisville, KY 40202
Phone (502) 852-7309

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

530 S Jackson St
#C7
Louisville, KY 40202
Phone (502) 582-5875

Organizations & group practices 11

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 37

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1790770337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21249",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402210249",
            "telephone_number": "301-983-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 S JACKSON ST # C07",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021675",
            "telephone_number": "502-852-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZIMPOOR",
        "first_name": "SHEEREEN",
        "middle_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0060197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.