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

Souroush Mohammed Niknahad, SRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1164296331

Souroush Mohammed Niknahad, SRNA is a Certified Registered Nurse Anesthetist (CRNA) in Louisville, Kentucky. Qualified in 2023, 3 years ago. Practices with University of Louisville Physicians Inc, a 1,433-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
3
Licensed in
KY
In the registry since
2023
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Practice location Address checks out

200 Abraham Flexner Way
Louisville, KY 40202-2877
Phone: (502) 587-4404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 530 S Jackson St, Louisville, KY 40202-1675 — (502) 562-3000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 1149312 (KY)

Record details

NPI number1164296331
Entity typeIndividual (Type 1)
GenderMale
Credentials SRNA
Sole proprietorYes
NPI enumeratedNovember 8, 2023
Last updated in NPPESMarch 11, 2024
Certification dateMarch 11, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice University Of Louisville Physicians Inc — 1433 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Louisville