DR. MOHEDINE SHAFEI (M.D.) – Family Medicine Physician, NPI 1770580425

DR. MOHEDINE SHAFEI (M.D.) is a healthcare provider. based in Goodland, Kansas. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 04-24613 (KS). The NPI Number for DR. MOHEDINE SHAFEI (M.D.) is 1770580425

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. MOHEDINE SHAFEI (M.D.)
NPI
1770580425
Phone
(785) 890-6075
Address
106 WILLOW RD
Enumeration Date
7 July 2005
Last Update Date
8 August 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6206241651
Graduation Year
1978 (48 years ago)
PAC ID
7810974128
Group Practice PAC ID
2860633435
Professional Enrollment ID
I20040706000379
Address ID
KS679012455LI315XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

452 EMERGENCY MEDICINE in KS

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Provider Addresses for DR. MOHEDINE SHAFEI (M.D.)

  • 106, Willow Road, Goodland, Sherman County, Kansas, 67735, United States

    GOODLAND, KS 677351518

    Phone: (785) 890-6075

    Fax: (785) 890-6077

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-07-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20040706000379IEmergency MedicineKSTBD

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
99285Emergency department visit with high level of medical decision making152134$0
99284Emergency department visit with moderate level of medical decision making142120$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only5351$0
99283Emergency department visit with low level of medical decision making1917$0
View full utilization report →

Insurance plans in this area (ZIP 67735)

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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: 2860633435View full group profile
NameSpecialtyState
Emergency MedicineAZ
Emergency MedicineNV
Nurse PractitionerAZ
Nurse PractitionerAZ
Emergency MedicineCO
Emergency MedicineAZ
Emergency MedicineCO
-NM
Emergency MedicineMN
Emergency MedicineCO

Reviews

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Frequently asked questions

What is the standard ID for DR. MOHEDINE SHAFEI (M.D.) in the U.S.?
In the U.S., DR. MOHEDINE SHAFEI (M.D.) is identified by NPI 1770580425.
Quick check: is DR. MOHEDINE SHAFEI (M.D.) active?
Public NPPES data shows DR. MOHEDINE SHAFEI (M.D.) with an active NPI status right now.
Which specialty label fits DR. MOHEDINE SHAFEI (M.D.)?
NPPES ties DR. MOHEDINE SHAFEI (M.D.) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DR. MOHEDINE SHAFEI (M.D.)?
The directory associates DR. MOHEDINE SHAFEI (M.D.) with Goodland, Kansas. Check all listed addresses for suites or satellite offices.
Who maintains DR. MOHEDINE SHAFEI (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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