DR. MORTEZA SHAHAMAT (MD) – Internal Medicine Physician, NPI 1154429959

DR. MORTEZA SHAHAMAT (MD) is a healthcare provider. based in Mahwah, New Jersey. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. MA53340 (NJ). The NPI Number for DR. MORTEZA SHAHAMAT (MD) is 1154429959

Main info

Male
56 Years Of Experience
Accepts Medicare Assignment
Name
DR. MORTEZA SHAHAMAT (MD)
NPI
1154429959
Phone
(201) 995-1005
Address
400 FRANKLIN TPKE
Enumeration Date
20 September 2006
Last Update Date
30 December 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2019951005
Graduation Year
1970 (56 years ago)
PAC ID
5395780241
Group Practice PAC ID
1456535392
Professional Enrollment ID
I20050622000427
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. MORTEZA SHAHAMAT (MD)

  • Franklin Turnpike, Franklin Crossing, West Mahwah, Mahwah, Bergen County, New Jersey, 07430, United States

    SUITE 104

    MAHWAH, NJ 07430

    Phone: (201) 995-1005

    Fax: (201) 995-1007

    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 2 Open Payments records for all available years, with a total value of $30.

Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.

Last reported payment date: 2023-08-30 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($30).

Total Amount

$30

General + Research + Ownership

Payments

2

Total payment records

General Amount

$30

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-30

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: 2005-06-22

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
I20050622000427IInternal MedicineNJTBD

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 minutes564201$0
36415Insertion of needle into vein for collection of blood sample400192$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit113113$0
J1100Injection, dexamethasone sodium phosphate, 1 mg10125$0
99213Established patient office or other outpatient visit, 20-29 minutes3930$0
View full utilization report →

Insurance plans in this area (ZIP 07430)

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Provider's Procedures

DR. MORTEZA SHAHAMAT (MD) performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINENJ81002Urinalysis, manual test1211
INTERNAL MEDICINENJ90670Pneumococcal vaccine for injection into muscle4545

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: 1456535392View full group profile
NameSpecialtyState
U R O L O G YNJ
P O D I A T R YNJ
U R O L O G YNJ
N E U R O L O G YNJ
U R O L O G YNJ
U R O L O G YNY
N E U R O L O G YNJ
U R O L O G YNJ
U R O L O G YNJ
P O D I A T R YNJ

Reviews

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Frequently asked questions

How do I look up DR. MORTEZA SHAHAMAT (MD) by NPI?
Use NPI 1154429959 when you need to reference DR. MORTEZA SHAHAMAT (MD) in forms, claims, or directories.
Is DR. MORTEZA SHAHAMAT (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. MORTEZA SHAHAMAT (MD) treat or focus on?
Patients typically see DR. MORTEZA SHAHAMAT (MD) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. MORTEZA SHAHAMAT (MD)?
We surface Mahwah, New Jersey for DR. MORTEZA SHAHAMAT (MD) based on available NPPES addresses.
How can I contact DR. MORTEZA SHAHAMAT (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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