Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Shahab Khademi, DO

Individual provider Anesthesiology Physician · NPI 1710243001

Dr. Shahab Khademi, DO is an Anesthesiology in Scranton, Pennsylvania. Qualified in 2012, 14 years ago. Practices with North American Partners in Anesthesia LLP, a 415-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California, New York and Pennsylvania.

Years since qualifying
14
Licensed in
CA, NY, PA
In the registry since
2012
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1800 Mulberry St
Scranton, PA 18510
Phone: (570) 703-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 45 Reade Pl, Poughkeepsie, NY 12601-3947 — (845) 454-8500

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence OS018663 (PA)
Anesthesiology Physician Taxonomy 207L00000X · Licence 324100 (NY)
Anesthesiology Physician Taxonomy 207L00000X · Licence 15759 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1710243001
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 11, 2012
Last updated in NPPESJuly 10, 2023
Certification dateJuly 10, 2023
Mailing address1800 Orleans St, Department Of Anesthesiology And Critical Care Medicine, Baltimore, MD 21287-0010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice North American Partners In Anesthesia Llp — 415 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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