GHADEAR SHUKR (M.D.) – Obstetrics & Gynecology Physician, NPI 1093178774
Obstetrics & Gynecology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,734 OBSTETRICS/GYNECOLOGY in MI
Provider Addresses for GHADEAR SHUKR (M.D.)
2799 W Grand Blvd
CFP B046
Detroit, MI 482022608
Phone: (313) 916-1601
Type: Location
Henry Ford Hospital, 2799, West Grand Boulevard, New Center, Detroit, Wayne County, Michigan, 48202, United States
CFP B046
DETROIT, MI 482022608
Phone:
Type: Mailing
2 TAMPA GENERAL CIR
TAMPA, FL 336063571
Phone: (813) 821-8038
Fax: (813) 974-4325
Type: Location
PO BOX 917770
ORLANDO, FL 328910001
Phone: (813) 821-8038
Fax: (813) 974-4325
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $73.
Total Amount is formed as General ($73) + Research ($0) + Ownership ($0) = $73.
Last reported payment date: 2024-06-11 • Largest payer in this snapshot: Applied Medical Resources Corporation ($46).
Total Amount
$73
General + Research + Ownership
Payments
2
Total payment records
General Amount
$73
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Applied Medical Resources Corporation | $46 |
| Intuitive Surgical, Inc. | $27 |
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: 2020-08-20
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 |
|---|---|---|---|---|
| I20200820002259 | I | Obstetrics/Gynecology | MI | 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 48202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Nurse Practitioner | MI | |
| Cardiovascular Disease (Cardiology) | MI | |
| H O S P I T A L I S T | MI | |
| - | MI | |
| Pulmonary Disease, Internal Medicine, Critical Care (Intensivists) | MI | |
| Internal Medicine, Infectious Disease | MI | |
| Pulmonary Disease, Critical Care (Intensivists) | MI | |
| O P H T H A L M O L O G Y | PA | |
| - | MI |
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