SHYAM SUNDER MOUDGIL (MD) – Neurology Physician, NPI 1740390848

SHYAM SUNDER MOUDGIL (MD) is a healthcare provider. based in Roseville, Michigan. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. 4301069080 (MI). The NPI Number for SHYAM SUNDER MOUDGIL (MD) is 1740390848

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
SHYAM SUNDER MOUDGIL (MD)
NPI
1740390848
Phone
(586) 777-3370
Address
25195 KELLY RD
Enumeration Date
30 August 2006
Last Update Date
2 March 2017

Doctor Profile

Medical School Name
WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5867773375
Graduation Year
2001 (25 years ago)
PAC ID
3476716770
Group Practice PAC ID
0648233353
Professional Enrollment ID
I20120524000335
Address ID
MI480884330WA28573RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

965 NEUROLOGY in MI

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Provider Addresses for SHYAM SUNDER MOUDGIL (MD)

  • 25195, Kelly Road, Roseville, Macomb County, Michigan, 48066, United States

    SUITE B

    ROSEVILLE, MI 480664909

    Phone: (586) 777-3370

    Fax: (586) 777-3380

    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 304 Open Payments records for all available years, with a total value of $5,926.

Total Amount is formed as General ($5,926) + Research ($0) + Ownership ($0) = $5,926.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Biogen, Inc. ($910).

Total Amount

$5,926

General + Research + Ownership

Payments

304

Total payment records

General Amount

$5,926

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2012-05-24

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
I20120524000335INeurologyMITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes394167$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes343304$0
99213Established patient office or other outpatient visit, 20-29 minutes195130$0
95816Measurement of brain wave activity (eeg), awake and drowsy131131$0
99214Established patient office or other outpatient visit, 30-39 minutes8179$0
View full utilization report →

Insurance plans in this area (ZIP 48066)

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Provider's Procedures

SHYAM SUNDER MOUDGIL (MD) performs procedures in NEUROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEUROLOGYMI95819Measurement and recording of brain wave (EEG) activity, awake and asleep1616

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: 0648233353View full group profile
NameSpecialtyState
Nurse PractitionerMI

Reviews

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Frequently asked questions

What NPI should I save for SHYAM SUNDER MOUDGIL (MD)?
Save NPI 1740390848 if you need a stable reference for SHYAM SUNDER MOUDGIL (MD).
Is SHYAM SUNDER MOUDGIL (MD) active in the national directory?
SHYAM SUNDER MOUDGIL (MD)'s public NPI profile is in an active state.
What field does SHYAM SUNDER MOUDGIL (MD) work in?
You can think of SHYAM SUNDER MOUDGIL (MD) as practicing within Neurology Physician. Clinical services aligned with this taxonomy classification.
Where is SHYAM SUNDER MOUDGIL (MD)'s primary listing?
We display Roseville, Michigan because that is what the record indicates for SHYAM SUNDER MOUDGIL (MD).
How can I contact SHYAM SUNDER MOUDGIL (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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