BASIL MOHAMMED DUDAR (MD) – Cardiovascular Disease Physician, NPI 1407804958

BASIL MOHAMMED DUDAR (MD) is a healthcare provider. based in St clair shores, Michigan. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERVENTIONAL CARDIOLOGY. They hold the professional credentials MD. They hold a License No. 4301079856 (MI). The NPI Number for BASIL MOHAMMED DUDAR (MD) is 1407804958

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
BASIL MOHAMMED DUDAR (MD)
NPI
1407804958
Phone
(586) 498-0440
Address
24211 Little Mack Ave
Enumeration Date
5 May 2006
Last Update Date
5 May 2026

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF OHIO
Secondary Phone
3134736900
Graduation Year
1999 (27 years ago)
PAC ID
4981616257
Group Practice PAC ID
7214299866
Professional Enrollment ID
I20060705000163
Address ID
MI482301507GR468XXRDXX302

Contacts

Secure Messaging
bdudar1231948@epic00.shdirect.org
Secure Messaging
bdudar26504@direct.beaumont.edu
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness95
Years active:20State licenses:1Other names

1,222 CARDIOVASCULAR DISEASE (CARDIOLOGY) in MI

Provider Addresses for BASIL MOHAMMED DUDAR (MD)

  • 24211 Little Mack Ave

    St Clair Shores, MI 480801190

    Phone: (586) 498-0440

    Fax: (586) 498-0401

    Type: Location

  • 26901 BEAUMONT BLVD STE 3D

    SOUTHFIELD, MI 480333849

    Phone:

    Type: Mailing

  • 24211, Little Mack Avenue, Saint Clair Shores, Macomb County, Michigan, 48080, United States

    ST CLAIR SHORES, MI 480801190

    Phone: (586) 498-0440

    Fax: (586) 498-0401

    Type: Mailing

  • 16815 E JEFFERSON AVE STE 240

    GROSSE POINTE, MI 482301923

    Phone: (313) 473-4690

    Fax: (313) 473-4688

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $178.

Total Amount is formed as General ($178) + Research ($0) + Ownership ($0) = $178.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($55).

Total Amount

$178

General + Research + Ownership

Payments

10

Total payment records

General Amount

$178

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

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: 2006-07-05

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
I20060705000163ICardiovascular Disease (Cardiology)MITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes547334$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes487191$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report241223$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes200167$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes13345$0
View full utilization report →

Insurance plans in this area (ZIP 48080)

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Provider's Procedures

BASIL MOHAMMED DUDAR (MD) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL CARDIOLOGYMI93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report4642

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: 7214299866View full group profile
NameSpecialtyState
-MI
Hematology/Oncology, Internal MedicineMI
P S Y C H I A T R YMI
-MI
Internal Medicine, Cardiovascular Disease (Cardiology)MI
Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
-MI
-MI
-MI
-MI

Reviews

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Frequently asked questions

How do I look up BASIL MOHAMMED DUDAR (MD) by NPI?
Use NPI 1407804958 when you need to reference BASIL MOHAMMED DUDAR (MD) in forms, claims, or directories.
Does this profile mean BASIL MOHAMMED DUDAR (MD) is currently active?
Yes — BASIL MOHAMMED DUDAR (MD) appears active in the national provider directory.
Does BASIL MOHAMMED DUDAR (MD) list a primary specialty?
If you are matching referrals, note Cardiovascular Disease Physician for BASIL MOHAMMED DUDAR (MD). Clinical services aligned with this taxonomy classification.
Does BASIL MOHAMMED DUDAR (MD) practice in Michigan?
You will see St Clair Shores, Michigan on file for BASIL MOHAMMED DUDAR (MD) alongside any extra practice locations.
What if St Clair Shores, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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