Dr Soroosh Mahboubi, MD in Philadelphia, PA

Dr Soroosh Mahboubi, MD is a medicare enrolled "Radiology - Pediatric Radiology" physician in Philadelphia, Pennsylvania. His current practice location is 3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Radiology, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 590-7000.

Dr Soroosh Mahboubi is licensed to practice in Pennsylvania (license number MD035194L) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043261522.

Contact Information

	Dr Soroosh Mahboubi, MD
	3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Radiology, Philadelphia, PA 19104-4319
	(215) 590-7000
	(215) 590-9348

Map and Direction

Physician's Profile

Full Name	Dr Soroosh Mahboubi
Gender	Male
Speciality	Radiology - Pediatric Radiology
Location	3401 Civic Center Blvd, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043261522
Provider Enumeration Date: 05/12/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 0749475853
Enrollment ID: I20101115001340

Medical Identifiers

Medical identifiers for Dr Soroosh Mahboubi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043261522	NPI	-	NPPES
0006461470001	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085P0229X	Radiology - Pediatric Radiology	MD035194L (Pennsylvania)	Primary
2085R0202X	Radiology - Diagnostic Radiology	MD035194L (Pennsylvania)	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. Dr Soroosh Mahboubi allows following entities to bill medicare on his behalf.

Entity Name	Geisinger Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518

Entity Name	Radiology Associates Of Children's Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467403261 PECOS PAC ID: 0345154399 Enrollment ID: O20050209000265

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. Dr Soroosh Mahboubi 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
Dr Soroosh Mahboubi, MD 100 E Penn Sq, 9th Floor, Philadelphia, PA 19107-3323 Ph: (267) 425-9232	Dr Soroosh Mahboubi, MD 3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Radiology, Philadelphia, PA 19104-4319 Ph: (215) 590-7000

Reviews and Comments

Radiology Doctors in Philadelphia, PA

Joel M Stein, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-3005
Dr. Sarah Denise Fenerty, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-7237 Fax: 215-707-9389
Joanie M Garratt, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-3000 Fax: 215-662-7011
Ryan Mcclintock, MD Radiology Medicare: Medicare Enrolled Practice Location: 3400 Spruce Street, Philadelphia, PA 19104 Phone: 215-662-3000 Fax: 215-662-7011
Dr. David P. Friedman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 S 11th St, Suite 3390, Philadelphia, PA 19107 Phone: 215-955-2900 Fax: 215-923-1562
Michel Bilello, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, 1 Silverstein, Philadelphia, PA 19104 Phone: 215-662-3005
Jill E Langer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, Ground Floor Dulles, Philadelphia, PA 19104 Phone: 215-662-7012 Fax: 215-349-5627

Dr Soroosh Mahboubi, MD - Medicare Radiology in Philadelphia, PA