FARZANEH AGHDASSI SOROND (MD PHD) – Neurocritical Care Physician, NPI 1366409831

FARZANEH AGHDASSI SOROND (MD PHD) is a healthcare provider. based in Chicago, Illinois. specializing in Neurocritical Care Physician. They hold the professional credentials MD PHD. They hold a License No. 036138715 (IL). The NPI Number for FARZANEH AGHDASSI SOROND (MD PHD) is 1366409831

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
FARZANEH AGHDASSI SOROND (MD PHD)
NPI
1366409831
Phone
(312) 695-9797
Address
680 N LAKE SHORE DR
Enumeration Date
28 April 2006
Last Update Date
7 December 2016

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1995 (31 years ago)
PAC ID
8628266954
Group Practice PAC ID
4587576814
Professional Enrollment ID
I20150728005691
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for FARZANEH AGHDASSI SOROND (MD PHD)

  • 680 North Lake Shore Drive, 680, North Lake Shore Drive, Streeterville, Near North Side, Chicago, Cook County, Illinois, 60611, United States

    SUITE# 1000

    CHICAGO, IL 606114546

    Phone: (312) 695-9797

    Fax: (312) 695-6594

    Type: Mailing

  • Abbott Hall, 710, North Lake Shore Drive, Streeterville, Near North Side, Chicago, Cook County, Illinois, 60611, United States

    SUITE 1116

    CHICAGO, IL 606113006

    Phone: (312) 503-3963

    Fax: (312) 503-3950

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $14,069.

Total Amount is formed as General ($14,069) + Research ($0) + Ownership ($0) = $14,069.

Last reported payment date: 2024-08-02 • Largest payer in this snapshot: Stryker Corporation ($14,069).

Total Amount

$14,069

General + Research + Ownership

Payments

18

Total payment records

General Amount

$14,069

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$14,069
View all Open Payments →|Open Payments Risk Radar →

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: 2015-07-28

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
I20150728005691INeurologyILTBD

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 60611)

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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: 4587576814View full group profile
NameSpecialtyState
-IL
Diagnostic Radiology, Interventional RadiologyIL
P A T H O L O G YIL
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineIL
G A S T R O E N T E R O L O G YIL
Internal MedicineIL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineMN
-IL
Physical Therapist In Private PracticeIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Is FARZANEH AGHDASSI SOROND (MD PHD) listed with a National Provider Identifier?
Yes — FARZANEH AGHDASSI SOROND (MD PHD) has NPI 1366409831 on file in the registry.
Would FARZANEH AGHDASSI SOROND (MD PHD) appear as active to a payer?
You can treat FARZANEH AGHDASSI SOROND (MD PHD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for FARZANEH AGHDASSI SOROND (MD PHD)?
At a glance, FARZANEH AGHDASSI SOROND (MD PHD) is tied to Neurocritical Care Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with FARZANEH AGHDASSI SOROND (MD PHD)?
Directory geography for FARZANEH AGHDASSI SOROND (MD PHD) centers on Chicago, Illinois.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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