DR. SHADY HAMMOUD (M.D) – Internal Medicine Physician, NPI 1215461082

DR. SHADY HAMMOUD (M.D) is a healthcare provider. based in Pontiac, Michigan. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D. They hold a License No. IN PROGRESS (MI). The NPI Number for DR. SHADY HAMMOUD (M.D) is 1215461082

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHADY HAMMOUD (M.D)
NPI
1215461082
Phone
(248) 858-6233
Address
44405 WOODWARD AVE
Enumeration Date
18 April 2017
Last Update Date
13 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3135632288
Graduation Year
2017 (9 years ago)
PAC ID
2365714532
Group Practice PAC ID
5991127896
Professional Enrollment ID
I20200811003352
Address ID
MI481242227DE22361DRXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:9State licenses:2Digital endpointsOther names

7,218 INTERNAL MEDICINE in MI

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Provider Addresses for DR. SHADY HAMMOUD (M.D)

  • Saint Joseph Mercy Oakland, 44405, Woodward Avenue, Pontiac, Oakland County, Michigan, 48341, United States

    H-23

    PONTIAC, MI 483415023

    Phone: (248) 858-6233

    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)

CMS reports 42 Open Payments records for all available years, with a total value of $924.

Total Amount is formed as General ($924) + Research ($0) + Ownership ($0) = $924.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($259).

Total Amount

$924

General + Research + Ownership

Payments

42

Total payment records

General Amount

$924

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

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: 2020-08-11

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
I20200811003352IInternal MedicineMITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes192101$0
G0444Annual depression screening, 5 to 15 minutes111111$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit108108$0
99214Established patient office or other outpatient visit, 30-39 minutes9062$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report8379$0
View full utilization report →

Insurance plans in this area (ZIP 48341)

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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: 5991127896View full group profile
NameSpecialtyState
Internal MedicineMI
Nurse PractitionerMI
Physician AssistantMI
Internal MedicineMI
Internal MedicineMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. SHADY HAMMOUD (M.D)?
DR. SHADY HAMMOUD (M.D) — NPI 1215461082 — is the standard way to identify this listing.
Is DR. SHADY HAMMOUD (M.D) listed as active for patients and plans?
The listing shows DR. SHADY HAMMOUD (M.D) as active in the NPI system.
What taxonomy line describes DR. SHADY HAMMOUD (M.D)?
For research purposes, treat DR. SHADY HAMMOUD (M.D) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. SHADY HAMMOUD (M.D) based?
DR. SHADY HAMMOUD (M.D) is tied to Pontiac, Michigan in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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