Michael Shirazi, - Medicare Interventional Radiology in Forest Hills, NY

Michael Shirazi, is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Forest Hills, New York. He went to Rutgers School Of Dental Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Interventional Radiology. He is a member of the group practice Summit Medical Group Pa and his current practice location is 10615 Queens Blvd Apt 3d, Forest Hills, New York. You can reach out to his office (for appointments etc.) via phone at (718) 245-2682.

Michael Shirazi is licensed to practice in New Jersey (license number 25MA08913600) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1326289679.

Contact Information

Michael Shirazi,
10615 Queens Blvd Apt 3d,
Forest Hills, NY 11375-4368
(718) 245-2682
Not Available

Map and Direction




Physician's Profile

Full NameMichael Shirazi
GenderMale
SpecialityInterventional Radiology
Experience19 Years
Location10615 Queens Blvd Apt 3d, Forest Hills, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michael Shirazi attended and graduated from Rutgers School Of Dental Medicine in 2005
  NPI Data:
  • NPI Number: 1326289679
  • Provider Enumeration Date: 03/17/2009
  • Last Update Date: 12/15/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6103003488
  • Enrollment ID: I20110614000657

Medical Identifiers

Medical identifiers for Michael Shirazi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326289679NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085N0700XRadiology - Neuroradiology 25MA08913600 (New Jersey)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 25MA08913600 (New Jersey)Secondary
2085R0202XRadiology - Diagnostic Radiology 25MA08913600 (New Jersey)Primary
2085U0001XRadiology - Diagnostic Ultrasound 25MA08913600 (New Jersey)Secondary
2085B0100XRadiology - Body Imaging 25MA08913600 (New Jersey)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Overlook Medical CenterSummit, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group Pa53956422761253

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. Michael Shirazi allows following entities to bill medicare on his behalf.
Entity NameSummit Medical Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942254347
PECOS PAC ID: 5395642276
Enrollment ID: O20031218000011
Entity NameRobert Wood Johnson Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902848625
PECOS PAC ID: 8628065117
Enrollment ID: O20040427001205
Entity NameSummit Radiological Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487794350
PECOS PAC ID: 1254386311
Enrollment ID: O20050511000066
Entity NameNbimc Department Of Radiology
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831236769
PECOS PAC ID: 5193821874
Enrollment ID: O20070427000034
Entity NameRwjbh Observation Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760095806
PECOS PAC ID: 5193137503
Enrollment ID: O20201209000008

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. Michael Shirazi 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
Michael Shirazi,
10615 Queens Blvd Apt 3d,
Forest Hills, NY 11375-4368

Ph: () -
Michael Shirazi,
10615 Queens Blvd Apt 3d,
Forest Hills, NY 11375-4368

Ph: (718) 245-2682

Reviews and Comments


Radiology Doctors in Forest Hills, NY

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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.

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