Dr. Pooneh Shahmohammadi, MD
Internal Medicine in Denver, CO. Individual provider (NPI-1).
NPI number1184875981
StatusActive
Last updated in NPPESOct 4, 2022
Details
- NPI
- 1184875981
- Entity type
- Individual (NPI-1)
- Name
- Dr. Pooneh Shahmohammadi
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 10, 2008
- Certification date
- Oct 4, 2022
- Last updated
- Oct 4, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 47972 | CO | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | tl2235 | CO |
Practice location
10400 E Alameda AveDenver, CO 80247-5104
Phone 303-338-4545
Mailing address
10350 E Dakota AveDenver, CO 80247-1314
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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