DR. SHAUKAT SHAMSUDIN DAMJI (M.D) – Internal Medicine Physician, NPI 1063475770
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. SHAUKAT SHAMSUDIN DAMJI (M.D)
6070 S FORT APACHE RD STE 100
LAS VEGAS, NV 891485615
Phone: (702) 803-5534
Fax: (888) 977-1206
Type: Location
South Fort Apache Road, Queensridge, Las Vegas, Clark County, Nevada, 89145-5800, United States
LAS VEGAS, NV 891485614
Phone: (702) 803-5534
Fax: (888) 977-1206
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $1,288.
Total Amount is formed as General ($1,288) + Research ($0) + Ownership ($0) = $1,288.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: LifeNet Health ($358).
Total Amount
$1,288
General + Research + Ownership
Payments
29
Total payment records
General Amount
$1,288
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| LifeNet Health | $358 |
| Organogenesis Inc. | $188 |
| Kerecis Limited | $180 |
| ETS Wound Care LLC | $151 |
| ABBVIE INC. | $141 |
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: 2005-05-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050524001173 | I | Internal Medicine | NV | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 293 | 41 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 289 | 43 | $0 |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 62 | 13 | $0 |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 58 | 17 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 52 | 22 | $0 |
Insurance plans in this area (ZIP 89148)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | NV | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 31 | 22 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NV | |
| Physician Assistant | NV | |
| Internal Medicine, Endocrinology | TX | |
| Family Practice | NV | |
| Vascular Surgery | PA | |
| General Practice | FL | |
| Nurse Practitioner | NV | |
| Internal Medicine, Infectious Disease | NY | |
| Nurse Practitioner | NJ | |
| P O D I A T R Y | NV |
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