Dr Soroosh Mahboubi, MD - Medicare Radiology in Philadelphia, PA

Dr Soroosh Mahboubi, MD is a medicare enrolled "Radiology - Pediatric Radiology" physician in Philadelphia, Pennsylvania. His current practice location is 3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Radiology, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 590-7000.

Dr Soroosh Mahboubi is licensed to practice in Pennsylvania (license number MD035194L) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043261522.

Contact Information

Dr Soroosh Mahboubi, MD
3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Radiology,
Philadelphia, PA 19104-4319
(215) 590-7000
(215) 590-9348

Map and Direction




Physician's Profile

Full NameDr Soroosh Mahboubi
GenderMale
SpecialityRadiology - Pediatric Radiology
Location3401 Civic Center Blvd, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043261522
  • Provider Enumeration Date: 05/12/2006
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0749475853
  • Enrollment ID: I20101115001340

Medical Identifiers

Medical identifiers for Dr Soroosh Mahboubi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043261522NPI-NPPES
0006461470001MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085P0229XRadiology - Pediatric Radiology MD035194L (Pennsylvania)Primary
2085R0202XRadiology - Diagnostic Radiology MD035194L (Pennsylvania)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Soroosh Mahboubi allows following entities to bill medicare on his behalf.
Entity NameGeisinger Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366493868
PECOS PAC ID: 5395657001
Enrollment ID: O20040130000518
Entity NameRadiology Associates Of Children's Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467403261
PECOS PAC ID: 0345154399
Enrollment ID: O20050209000265

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Soroosh Mahboubi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Soroosh Mahboubi, MD
100 E Penn Sq, 9th Floor,
Philadelphia, PA 19107-3323

Ph: (267) 425-9232
Dr Soroosh Mahboubi, MD
3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Radiology,
Philadelphia, PA 19104-4319

Ph: (215) 590-7000

Reviews and Comments


Radiology Doctors in Philadelphia, PA

Joel M Stein, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3400 Spruce St, Philadelphia, PA 19104
Phone: 215-662-3005    
Dr. Sarah Denise Fenerty, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3401 N Broad St, Philadelphia, PA 19140
Phone: 215-707-7237    Fax: 215-707-9389
Joanie M Garratt, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3400 Spruce St, Philadelphia, PA 19104
Phone: 215-662-3000    Fax: 215-662-7011
Xin Qi Wei, DO
Radiology
Medicare: Medicare Enrolled
Practice Location: 160 E Erie Ave, Philadelphia, PA 19134
Phone: 215-427-5234    
Ryan Mcclintock, MD
Radiology
Medicare: Medicare Enrolled
Practice Location: 3400 Spruce Street, Philadelphia, PA 19104
Phone: 215-662-3000    Fax: 215-662-7011
Dr. David P. Friedman, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 111 S 11th St, Suite 3390, Philadelphia, PA 19107
Phone: 215-955-2900    Fax: 215-923-1562
Michel Bilello, MD, PHD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3400 Spruce St, 1 Silverstein, Philadelphia, PA 19104
Phone: 215-662-3005    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.