DR. SOUREN FOROUHI (M.D.) – Geriatric Medicine (Family Medicine) Physician, NPI 1205289410

DR. SOUREN FOROUHI (M.D.) is a healthcare provider. based in Reno, Nevada. specializing in Geriatric Medicine (Family Medicine) Physician. They hold the professional credentials M.D.. They hold a License No. 18956 (NV). The NPI Number for DR. SOUREN FOROUHI (M.D.) is 1205289410

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. SOUREN FOROUHI (M.D.)
NPI
1205289410
Phone
(775) 982-5262
Address
850 HARVARD WAY
Enumeration Date
22 July 2016
Last Update Date
22 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7759825000
Graduation Year
2016 (10 years ago)
PAC ID
2264786532
Group Practice PAC ID
1951324318
Professional Enrollment ID
I20191101000487

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:9State licenses:2Other namesUpdated within 12 months

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Provider Addresses for DR. SOUREN FOROUHI (M.D.)

  • 850, Harvard Way, Reno, Washoe County, Nevada, 89502, United States

    RENO, NV 895022055

    Phone: (775) 982-5262

    Fax: (775) 982-5496

    Type: Mailing

  • 100, Ryland Street, Midtown, Reno, Washoe County, Nevada, 89501, United States

    RENO, NV 895021669

    Phone: (775) 982-5000

    Fax: (775) 982-5225

    Type: Location

  • 901 MARSHALL ST

    REDWOOD CITY, CA 940632026

    Phone: (650) 207-5987

    Fax: (775) 982-5496

    Type: Mailing

  • 3801 MIRANDA AVE # 171

    PALO ALTO, CA 943041207

    Phone: (650) 493-5000

    Fax: (650) 849-0500

    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: 2018-11-27

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
I20181127000292IFamily PracticeCATBD

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 89502)

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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: 1951324318View full group profile
NameSpecialtyState
-NV
-NV
H O S P I T A L I S TNV
Hospitalist, Internal MedicineNV
Physical Medicine And RehabilitationMI
Physician AssistantNV
-NV
-NV
Thoracic SurgeryWV
Thoracic Surgery, Vascular SurgeryPA

Reviews

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Frequently asked questions

What is the registry number for DR. SOUREN FOROUHI (M.D.)?
The registry entry for DR. SOUREN FOROUHI (M.D.) shows NPI 1205289410.
Is DR. SOUREN FOROUHI (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. SOUREN FOROUHI (M.D.) as active.
What does the directory say DR. SOUREN FOROUHI (M.D.) does?
Insurance directories may phrase it differently, but here DR. SOUREN FOROUHI (M.D.) maps to Geriatric Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. SOUREN FOROUHI (M.D.)?
DR. SOUREN FOROUHI (M.D.) is associated with Reno, Nevada in the same public data insurers reference.
Who maintains DR. SOUREN FOROUHI (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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