Active NPI
Laith Sorour Ahmad Sorour
- Geriatric Medicine (Internal Medicine) Physician
- Boston, MA
National Provider Identifier
1861171977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 3019827
- Practice address
- 1 Boston Medical Ctr PL Ste 1
Boston, MA 02118-2999 - Phone
- (617) 638-8000
- NPI assigned
- Jul 17, 2023
- 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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 3019827 | MA | Primary |
Addresses
Primary practice location
1 Boston Medical Ctr PL Ste 1
Boston, MA 02118-2999
Mailing address
911 Elmwood Ave Apt G3
Evanston, IL 60202-1758
Phone (224) 529-8747
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.082025 | IL | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1861171977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 ELMWOOD AVE APT G3",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602021758",
"telephone_number": "224-529-8747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BOSTON MEDICAL CTR PL STE 1",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182999",
"telephone_number": "617-638-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOROUR",
"first_name": "LAITH",
"middle_name": "SOROUR AHMAD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-17",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MA",
"license": "3019827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.