DR. SHUJA AHMED (M.D.) – Surgical Oncology Physician, NPI 1184816829
Surgical Oncology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
66 SURGICAL ONCOLOGY in TN
Provider Addresses for DR. SHUJA AHMED (M.D.)
PO BOX 27892
BELFAST, ME 049152030
Phone: (901) 758-9900
Fax: (901) 752-2335
Type: Mailing
1265 UNION AVE, 2 SHORB TOWER
MEMPHIS, TN 38104
Phone: (901) 478-0900
Fax: (901) 266-6415
Type: Location
1025, South 6th Street, South Town, Springfield, Sangamon County, Illinois, 62703, United States
SPRINGFIELD, IL 627032403
Phone: (217) 528-7541
Type: Mailing
301, North 8th Street, Springfield, Sangamon County, Illinois, 62701, United States
SPRINGFIELD, IL 627011041
Phone: (217) 528-7541
Type: Location
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: 2022-06-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220608001955 | I | Surgical Oncology | TN | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 04915)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | TN | |
| - | TN | |
| Physician Assistant | TN | |
| Hematology/Oncology, Internal Medicine | TN | |
| - | TN | |
| - | TN | |
| N E U R O L O G Y | TN | |
| Nurse Practitioner | GA | |
| Infectious Disease, Internal Medicine | TN | |
| General Surgery | TN |
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