MR. SHAMAS MOHEYUDDIN (M.D.) – Pain Medicine (Anesthesiology) Physician, NPI 1619942596

MR. SHAMAS MOHEYUDDIN (M.D.) is a healthcare provider. based in Ann arbor, Michigan. specializing in ANESTHESIOLOGY, INTERVENTIONAL PAIN MANAGEMENT, PAIN MANAGEMENT. They hold the professional credentials M.D.. They hold a License No. 4301085148 (MI). The NPI Number for MR. SHAMAS MOHEYUDDIN (M.D.) is 1619942596

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
MR. SHAMAS MOHEYUDDIN (M.D.)
NPI
1619942596
Phone
(734) 677-6000
Address
3120 PROFESSIONAL DR
Enumeration Date
22 February 2006
Last Update Date
3 July 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7346776000
Graduation Year
1994 (32 years ago)
PAC ID
7517903990
Group Practice PAC ID
5597661975
Professional Enrollment ID
I20050707000646
Address ID
MI481045131AN3120XDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,714 ANESTHESIOLOGY in MI

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Provider Addresses for MR. SHAMAS MOHEYUDDIN (M.D.)

  • 3120, Professional Drive, Ann Arbor, Washtenaw County, Michigan, 48104, United States

    ANN ARBOR, MI 481045131

    Phone: (734) 677-6000

    Fax: (734) 677-2422

    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)

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: 2005-07-07

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
I20050707000646IAnesthesiologyMITBD

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 minutes6539$0
64490Injection of upper or middle spine facet joint using imaging guidance, single level2623$0
64491Injection of upper or middle spine facet joint using imaging guidance, second level2623$0
62321Injection of substance into middle or upper spine canal using imaging guidance2318$0
64633Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint2312$0
View full utilization report →

Insurance plans in this area (ZIP 48104)

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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: 5597661975View full group profile
NameSpecialtyState
Nurse PractitionerMI
-MI
Family Practice, Internal Medicine, Pain ManagementMI
Clinical PsychologistMI
Nurse PractitionerMI
-MI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

What is the registry number for MR. SHAMAS MOHEYUDDIN (M.D.)?
The registry entry for MR. SHAMAS MOHEYUDDIN (M.D.) shows NPI 1619942596.
Is MR. SHAMAS MOHEYUDDIN (M.D.)'s NPI status active today?
Active status means MR. SHAMAS MOHEYUDDIN (M.D.)'s NPI record is not deactivated in the public file.
What type of care does MR. SHAMAS MOHEYUDDIN (M.D.) provide?
MR. SHAMAS MOHEYUDDIN (M.D.)'s profile centers on Pain Medicine (Anesthesiology) Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to MR. SHAMAS MOHEYUDDIN (M.D.)?
MR. SHAMAS MOHEYUDDIN (M.D.) shows a connection to Ann Arbor, Michigan in registry-derived data.
Can I export MR. SHAMAS MOHEYUDDIN (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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