Mehran R. Sorouri, D.C., DACO, CCSP

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-009498 Issued in IL

Practice address

2051 W Belmont Ave
Chicago, IL 60618-6467

Phone

(773) 525-8100

Fax

(773) 525-8130

NPI assigned

Apr 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Global Chiropractic Care LTD

  • Rehabilitation Chiropractor
  • Chicago, IL
  • NPI 1871895011
  Medicare reassignment NPD Authorized official
• Back in Motion Physical Therapy & Spine Center PC

  • Physical Therapist
  • Spring Grove, IL
  • NPI 1972727360

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425254400000",
    "number": "1992828339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186467",
            "telephone_number": "773-525-8100",
            "fax_number": "773-525-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186467",
            "telephone_number": "773-525-8100",
            "fax_number": "773-525-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOROURI",
        "first_name": "MEHRAN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.C., DACO, CCSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2015-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1632755",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Sornito
• Peter Sorokin, M.D.
• Anastasia Sorokina, M.D.
• Margarita Sorokina
• Farzaneh Aghdassi Sorond, MD PHD
• Tanya R. Sorrell, PHD, NP
• Taylor Sorrells
• Georgina Sorrentino, MD
• Matthew Sorrentino
• Chandia Sorsby

• Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.