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 8 years of diverse experience with area of expertise as Obstetrics/gynecology. 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
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1083159305.
Physician's Profile
| Full Name | Shayan Khorsandi |
|---|
| Gender | Male |
|---|
| Speciality | Obstetrics/gynecology |
|---|
| Experience | 8 Years |
|---|
| Location | Carretera #2, Kilometer 39.5, Vega Baja, Puerto Rico |
|---|
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
|---|
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: 02/10/2026
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 |
|---|
| 207V00000X | Obstetrics & Gynecology | 021715 (Puerto Rico) | Secondary |
| 2088F0040X | Urology - Female Pelvic Medicine And Reconstructive Surgery | 021715 (Puerto Rico) | Secondary |
| 207VF0040X | Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery | 021715 (Puerto Rico) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 25MA10177800 (New Jersey) | 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. Shayan Khorsandi allows following entities to bill medicare on his behalf.
| Entity Name | Instituto Medico Del Norte Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1154309169
PECOS PAC ID: 5597728816
Enrollment ID: O20061116000444 |
|---|
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 |
|---|
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 |
Reviews and Comments