DR. SIAVASH DAVID SHAHBODAGHI (MD/MPH) – Family Medicine Physician, NPI 1174904981

DR. SIAVASH DAVID SHAHBODAGHI (MD/MPH) is a healthcare provider. based in Fort gordon, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials MD/MPH. They hold a License No. R8826 (TX). The NPI Number for DR. SIAVASH DAVID SHAHBODAGHI (MD/MPH) is 1174904981

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. SIAVASH DAVID SHAHBODAGHI (MD/MPH)
NPI
1174904981
Phone
(706) 787-9281
Address
300 EAST HOSPITAL ROAD
Enumeration Date
17 June 2015
Last Update Date
6 May 2026

Doctor Profile

Medical School Name
UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Secondary Phone
4067653700
Graduation Year
2015 (11 years ago)
PAC ID
0446560296
Group Practice PAC ID
9133038706
Professional Enrollment ID
I20220329001321
Address ID
MT592541526PL440XXAVEX400
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:10State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

Provider Addresses for DR. SIAVASH DAVID SHAHBODAGHI (MD/MPH)

  • 300 EAST HOSPITAL ROAD

    DWIGHT DAVID EISENHOWER ARMY MEDICAL CENTER

    FORT GORDON, GA 309055650

    Phone: (706) 787-9281

    Type: Mailing

  • 1 AVENUE N

    HASKELL, TX 795215415

    Phone: (940) 228-4321

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $76.

Total Amount is formed as General ($76) + Research ($0) + Ownership ($0) = $76.

Last reported payment date: 2024-07-16 • Largest payer in this snapshot: Ultragenyx Pharmaceutical Inc. ($17).

Total Amount

$76

General + Research + Ownership

Payments

5

Total payment records

General Amount

$76

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-03-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190916000298IFamily PracticeTXTBD
I20220329001321IFamily PracticeMTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making6555$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes5833$0
99238Hospital discharge day management, 30 minutes or less4137$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes2928$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2412$0
View full utilization report →

Insurance plans in this area (ZIP 30905)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133038706View full group profile
NameSpecialtyState
Clinical Social WorkerMT
Physician AssistantMT
H E M A T O L O G Y/ O N C O L O G YMT
Nurse PractitionerMT
Family PracticeOR
Physician AssistantMT
Physician AssistantMT
Internal Medicine, NephrologyMT
Physician AssistantMT
Nurse PractitionerMT

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

What is the standard ID for DR. SIAVASH DAVID SHAHBODAGHI (MD/MPH) in the U.S.?
In the U.S., DR. SIAVASH DAVID SHAHBODAGHI (MD/MPH) is identified by NPI 1174904981.
Should I treat DR. SIAVASH DAVID SHAHBODAGHI (MD/MPH) as an active provider?
Patients and plans typically see DR. SIAVASH DAVID SHAHBODAGHI (MD/MPH) as active in the national extract.
How should patients interpret DR. SIAVASH DAVID SHAHBODAGHI (MD/MPH)'s specialty?
The extract shows Family Medicine Physician for DR. SIAVASH DAVID SHAHBODAGHI (MD/MPH). Clinical services aligned with this taxonomy classification.
Can patients visit DR. SIAVASH DAVID SHAHBODAGHI (MD/MPH) in Fort Gordon, Georgia?
For routing, start with Fort Gordon, Georgia for DR. SIAVASH DAVID SHAHBODAGHI (MD/MPH), then verify phone and hours locally.
Why is information missing for DR. SIAVASH DAVID SHAHBODAGHI (MD/MPH)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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