Shayan Khorsandi, MD is a medicare enrolled "Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery" physician in Vega Baja, Puerto Rico. He went to Cooper Medical School Of Rowan University and graduated in 2018 and has 7 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Instituto Medico Del Norte Inc and his current practice location is
Carretera #2, Kilometer 39.5, Ofic. 110, Vega Baja, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at
(787) 226-5425.
Shayan Khorsandi is licensed to practice in Puerto Rico (license number 021715) 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 1083159305.
Physician's Profile
| Full Name | Shayan Khorsandi |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 7 Years |
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| Location | Carretera #2, Kilometer 39.5, Vega Baja, Puerto Rico |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shayan Khorsandi attended and graduated from Cooper Medical School Of Rowan University in 2018
NPI Data:
- NPI Number: 1083159305
- Provider Enumeration Date: 12/21/2016
- Last Update Date: 02/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 1254682354
- Enrollment ID: I20230607001450
Medical Identifiers
Medical identifiers for Shayan Khorsandi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083159305 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 25MA10177800 (New Jersey) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207VF0040X | Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery | 021715 (Puerto Rico) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Instituto Medico Del Norte Inc | 5597728816 | 7 |
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. Shayan Khorsandi allows following entities to bill medicare on his behalf.
| Entity Name | Instituto Medico Del Norte Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154309169
PECOS PAC ID: 5597728816
Enrollment ID: O20061116000444 |
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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. Shayan Khorsandi 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 Address | Practice Location Address |
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Shayan Khorsandi, MD
16 Plaza Santa Cruz,
Trujillo Alto, PR 00976-6123
Ph: (787) 226-5425 | Shayan Khorsandi, MD
Carretera #2, Kilometer 39.5, Ofic. 110,
Vega Baja, PR 00693
Ph: (787) 226-5425 |
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