SHAHRIAR BOZORGZADEH (MD) – Family Medicine Physician, NPI 1194726851

SHAHRIAR BOZORGZADEH (MD) is a healthcare provider. based in Point roberts, Washington. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 60114769 (WA). The NPI Number for SHAHRIAR BOZORGZADEH (MD) is 1194726851

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
SHAHRIAR BOZORGZADEH (MD)
NPI
1194726851
Phone
(360) 945-2580
Address
2030 Benson Rd
Enumeration Date
3 August 2005
Last Update Date
31 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3606717100
Graduation Year
1995 (31 years ago)
PAC ID
1951399963
Group Practice PAC ID
7618243296
Professional Enrollment ID
I20101028000953
Address ID
WA982292020BE1050XDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,141 FAMILY PRACTICE in WA

Provider Addresses for SHAHRIAR BOZORGZADEH (MD)

  • 2030 Benson Rd

    Point Roberts, WA 982819206

    Phone: (360) 945-2580

    Fax: (360) 746-6266

    Type: Location

  • PO BOX 1467

    INDIANAPOLIS, IN 462061467

    Phone: (618) 457-5200

    Fax: (618) 529-0586

    Type: Mailing

  • Memorial Hospital of Carbondale, 405, West Jackson Street, Carbondale, Jackson County, Illinois, 62902, United States

    CARBONDALE, IL 629011462

    Phone: (618) 549-0721

    Fax: (618) 457-0469

    Type: Location

  • 1050 LAKEWAY DR

    BELLINGHAM, WA 982292020

    Phone: (360) 746-6531

    Fax: (360) 746-6266

    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: 2010-10-28

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
I20101028000953IFamily PracticeWATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes9747$0
99212Established patient office or other outpatient visit, 10-19 minutes5728$0
99214Established patient office or other outpatient visit, 30-39 minutes3122$0
99204New patient office or other outpatient visit, 45-59 minutes2323$0
36415Insertion of needle into vein for collection of blood sample1311$0
View full utilization report →

Insurance plans in this area (ZIP 98281)

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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: 7618243296View full group profile

Reviews

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Frequently asked questions

What federal number belongs to SHAHRIAR BOZORGZADEH (MD)?
The federal identifier for SHAHRIAR BOZORGZADEH (MD) is NPI 1194726851.
Is SHAHRIAR BOZORGZADEH (MD)'s NPI currently valid?
The extract we use shows SHAHRIAR BOZORGZADEH (MD) as active.
What kind of provider is SHAHRIAR BOZORGZADEH (MD)?
The page reflects Family Medicine Physician for SHAHRIAR BOZORGZADEH (MD). Clinical services aligned with this taxonomy classification.
Where is SHAHRIAR BOZORGZADEH (MD)'s primary listing?
We display Point Roberts, Washington because that is what the record indicates for SHAHRIAR BOZORGZADEH (MD).
Is SHAHRIAR BOZORGZADEH (MD) a real provider?
This page reflects official NPPES data for NPI 1194726851. Always confirm identity and privileges with the practice and licensing boards.

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