Individual provider Active NPI

Cyrus Khorrami, M.D.

  • Diagnostic Radiology Physician
  • Toms River, NJ
National Provider Identifier
1902079262
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA07852100 Issued in NJ
Practice address
154 Hwy 37 W
Toms River, NJ 08755-8059
Phone
(732) 244-0777
NPI assigned
Apr 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA07852100 NJ Primary
Diagnostic Radiology Physician 2085R0202X D67755 MD

Addresses

Primary practice location

154 Hwy 37 W
Toms River, NJ 08755-8059

Mailing address

154 Hwy 37 W
Toms River, NJ 08755-8059
Phone (732) 244-0777

Other identifiers 3

IdentifierTypeStateIssuer
017906000MedicaidMD
60043108OtherNJHORIZON NJ HEALTH
1937872OtherNJAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081023000603 NJ Practitioner - Diagnostic Radiology 3577631753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Temple University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Toms River Xray CT and MRI Center PAGroup PAC ID 4688666456, 8 clinicians

Practice addresses (Care Compare)

154 Hwy 37 W
Toms River, NJ 08755-8059
Phone (732) 244-0777

Merit-based Incentive Payment System (MIPS)

Final score
87.24 of 100Reported as group
Quality
74.48
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D67755MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Toms River Xray CT and MRI Center PA Diagnostic Radiology CurrentSince Jul 1, 2009 Accepting new patients

Locations

154 Route 37 W
Toms River, NJ 08755
Phone (732) 244-0777

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1902079262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 HWY 37 W",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558059",
            "telephone_number": "732-244-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 HWY 37 W",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558059",
            "telephone_number": "732-244-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHORRAMI",
        "first_name": "CYRUS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-08",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA07852100",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D67755",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017906000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60043108",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1937872",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.