Active NPI
Mehdi Shemirani, MDFACS
- Surgery Physician
- Rochester, NY
National Provider Identifier
1790896330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 1005001
- Practice address
- 1360 Portland Avenue
Suite 202
Rochester, NY 14621-3002 - Phone
- (585) 342-6310
- Fax
- (585) 342-3245
- NPI assigned
- Aug 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 1005001 | NY | Primary |
Addresses
Primary practice location
1360 Portland Avenue
Suite 202
Rochester, NY 14621-3002
Mailing address
1360 Portland Avenue
Suite 202
Rochester, NY 14621-3002
Phone (585) 342-6310
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1005001 | NY | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790896330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 PORTLAND AVENUE",
"address_2": "SUITE 202",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213002",
"telephone_number": "585-342-6310",
"fax_number": "585-342-3245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 PORTLAND AVENUE",
"address_2": "SUITE 202",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213002",
"telephone_number": "585-342-6310",
"fax_number": "585-342-3245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEMIRANI",
"first_name": "MEHDI",
"name_prefix": "Dr.",
"credential": "MDFACS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "1005001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.