SHARAREH FIROUZBAKHT (MD) – Obstetrics & Gynecology Physician, NPI 1144759507

SHARAREH FIROUZBAKHT (MD) is a healthcare provider. based in Kailua kona, Hawaii. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 7272 (HI). The NPI Number for SHARAREH FIROUZBAKHT (MD) is 1144759507

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
SHARAREH FIROUZBAKHT (MD)
NPI
1144759507
Phone
(832) 428-8624
Address
75-5608 HIENALOLI RD UNIT 51
Enumeration Date
8 June 2017
Last Update Date
24 March 2025

Doctor Profile

Medical School Name
UN OF CALIFORNIA, IRVINE, COLLEGE OF MEDICINE
Secondary Phone
8088814400
Graduation Year
2017 (9 years ago)
PAC ID
5496152779
Group Practice PAC ID
0143116293
Professional Enrollment ID
I20210929002157
Address ID
HI967438496KA67112HWYX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

261 OBSTETRICS/GYNECOLOGY in HI

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Provider Addresses for SHARAREH FIROUZBAKHT (MD)

  • 75-5608 HIENALOLI RD UNIT 51

    KAILUA KONA, HI 967408819

    Phone: (832) 428-8624

    Type: Mailing

  • 824, Punahou Street, McCully, Honolulu, Honolulu County, Hawaii, 96826, United States

    HONOLULU, HI 968261032

    Phone:

    Type: Mailing

  • 75-5914 MAMALAHOA HWY

    HOLUALOA, HI 967259998

    Phone: (832) 428-8624

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-09-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210929002157IObstetrics/GynecologyHITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 96740)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143116293View full group profile
NameSpecialtyState
-NV
Nurse PractitionerHI
Family PracticeWA
Critical Care (Intensivists), Pulmonary DiseaseCA
N E U R O L O G YIA
Internal MedicineHI
General SurgeryOR
Physician AssistantCA
H E M A T O L O G Y/ O N C O L O G YRI
Family Practice, Emergency MedicineTN

Reviews

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Frequently asked questions

What identifier follows SHARAREH FIROUZBAKHT (MD) across health systems?
The NPI 1144759507 uniquely identifies SHARAREH FIROUZBAKHT (MD) in U.S. healthcare data.
Is SHARAREH FIROUZBAKHT (MD) currently accepting referrals based on NPI status?
Registry metadata lists SHARAREH FIROUZBAKHT (MD) as active.
How should patients interpret SHARAREH FIROUZBAKHT (MD)'s specialty?
The extract shows Obstetrics & Gynecology Physician for SHARAREH FIROUZBAKHT (MD). Clinical services aligned with this taxonomy classification.
What city is tied to SHARAREH FIROUZBAKHT (MD)?
The directory associates SHARAREH FIROUZBAKHT (MD) with Kailua Kona, Hawaii. Check all listed addresses for suites or satellite offices.
Can I export SHARAREH FIROUZBAKHT (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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