SHOHREH SOBOUTIPOUR M.D. NPI 1932498813

NPI Information

  • NPI: 1932498813
  • Provider Name: SHOHREH SOBOUTIPOUR, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2995 REIDVILLE RD STE 210
    SPARTANBURG, SC
    ZIP 29301
  • Phone: (864) 253-8140

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NPI Details

Shohreh Soboutipour, M.D. is a family medicine in Spartanburg, SC with 22 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Shohreh Soboutipour, M.D. NPI is 1932498813. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2995 REIDVILLE RD STE 210
SPARTANBURG, SC
ZIP 29301-631
Phone: (864) 253-8140
Fax: (645) 870-0518

The NPI 1932498813 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Blood test, basic group of blood chemicals (calcium, ionized) (HCPCS:80047)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85027)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Infusion, normal saline solution , 1000 cc (HCPCS:J7030)
  • X-ray of ribs on side of body, 2 views (HCPCS:71100)

The enumeration date for this NPI number is 3/31/2011 and was last updated on 6/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine33499SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1334999MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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