Active NPI
Siamak Shokrollahi
- Retina Specialist (Ophthalmology) Physician
- Boston, MA
National Provider Identifier
1861979528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- 274742
- Practice address
- 1 Joslin PL
Boston, MA 02215-5394 - Phone
- (617) 309-2400
- NPI assigned
- Jul 25, 2018
- 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 |
|---|---|---|---|---|
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 274742 | MA | Primary |
Addresses
Primary practice location
1 Joslin PL
Boston, MA 02215-5394
Mailing address
1 Joslin PL
Boston, MA 02215-5394
Phone (617) 309-2400
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 |
|---|---|---|---|
| 274742 | MA | MD | Retina Specialist (Ophthalmology) Physician |
Interoperability endpoints
- sshokrollahi136438@uihealth.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532476800000",
"number": "1861979528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 JOSLIN PL",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155394",
"telephone_number": "617-309-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 JOSLIN PL",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155394",
"telephone_number": "617-309-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOKROLLAHI",
"first_name": "SIAMAK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-25",
"last_updated": "2018-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "MA",
"license": "274742",
"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 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.