Individual provider Active NPI

Parviz Sorouri, M.D.

  • Specialist
  • Newark, DE
National Provider Identifier
1992891089
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C10001760 Issued in DE
Practice address
10 Darwin Dr
Suite C
Newark, DE 19711-6658
Phone
(302) 453-9171
Fax
(302) 453-0732
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X C10001760 DE Primary

Addresses

Primary practice location

10 Darwin Dr
Suite C
Newark, DE 19711-6658

Mailing address

10 Darwin Dr
Suite C
Newark, DE 19711-6658
Phone (302) 453-9171

Other identifiers 1

IdentifierTypeStateIssuer
0000258301MedicaidDE

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Kirkwood Endoscopy Center LLC PastSince Feb 19, 2004 Accepting new patients
Corazon G. Tablang MD PC Past Accepting new patients

Organizations & group practices 2

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1992891089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DARWIN DR",
            "address_2": "SUITE C",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197116658",
            "telephone_number": "302-453-9171",
            "fax_number": "302-453-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DARWIN DR",
            "address_2": "SUITE C",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197116658",
            "telephone_number": "302-453-9171",
            "fax_number": "302-453-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOROURI",
        "first_name": "PARVIZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "DE",
            "license": "C10001760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000258301",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.