SHIVASHANKAR DAMODARAN (MD) – Urology Physician, NPI 1528558277
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
469 UROLOGY in MI
Provider Addresses for SHIVASHANKAR DAMODARAN (MD)
2611 ELECTRIC AVE STE E
PORT HURON, MI 480606587
Phone: (810) 216-3599
Fax: (833) 329-4076
Type: Mailing
3000 ARLINGTON AVE # MS 1095
TOLEDO, OH 436142598
Phone: (419) 383-6462
Fax: (419) 383-3348
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $4,368.
Total Amount is formed as General ($4,368) + Research ($0) + Ownership ($0) = $4,368.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($3,000).
Total Amount
$4,368
General + Research + Ownership
Payments
13
Total payment records
General Amount
$4,368
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $3,000 |
| CONMED Corporation | $873 |
| Boston Scientific Corporation | $159 |
| Olympus America Inc. | $153 |
| Astellas Pharma US Inc | $100 |
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: 2023-09-19
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 |
|---|---|---|---|---|
| I20230919003815 | I | Urology | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 48060)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | MI | |
| Family Practice | MI | |
| Nurse Practitioner | MI | |
| Family Practice | MI | |
| - | MI | |
| Internal Medicine | MI | |
| General Surgery | MI | |
| Nurse Practitioner | IL |
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