Shahram Hormozi, M.D., P.C.

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

201817 Issued in NY

Legal business name

SHAHRAM HORMOZI, M.D., P.C.

Practice address

515 Route 111
2ND Floor
Hauppauge, NY 11788-4339

Phone

(631) 224-1593

Fax

(631) 224-1812

NPI assigned

Jan 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Shahram Hormozi, M.D.NPI 1215916721

Title

President

Phone

(631) 224-1593

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shahram Hormozi, M.D.

  • Interventional Cardiology Physician
  • Hauppauge, NY
  • NPI 1215916721
  Medicare reassignment NPD Authorized official
• Diane Ingels, NP

  • Adult Health Nurse Practitioner
  • Bay Shore, NY
  • NPI 1740956523
  NPD (past)

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238716800000",
    "number": "1891932356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5291",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117880300",
            "telephone_number": "631-224-1593",
            "fax_number": "631-224-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 ROUTE 111",
            "address_2": "2ND FLOOR",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884339",
            "telephone_number": "631-224-1593",
            "fax_number": "631-224-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHRAM HORMOZI, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-04-03",
        "status": "A",
        "authorized_official_last_name": "HORMOZI",
        "authorized_official_first_name": "SHAHRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-224-1593",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "201817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louise M Selden, SPEECH PATHOLOGIST
• Serenemind NP in Adult Health & Psychiatry PLLC
• Caroline P Seus
• Kavin Girish Shah, M.D., MPH
• Tina Shah, PHARM.D.
• Rachael Shapiro-Batohie, DPT
• Daniel Shapiro, MD
• Nancy S Shapiro, OT
• Sharon Hill, Psychiatric Nurse Practitioner, PLLC
• Danielle E Shea, LPN

• Interventional Cardiology Physician in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Interventional Cardiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.