NPIMap

Individual provider Active NPI

Siavash David Shahbodaghi, MD/MPH

  • Family Medicine Physician
  • Haskell, TX
National Provider Identifier
1174904981
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R8826 Issued in TX
Practice address
1 Avenue N
Haskell, TX 79521-5415
Phone
(940) 228-4321
NPI assigned
Jun 17, 2015
Last updated
May 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R8826 TX Primary

Addresses

Primary practice location

1 Avenue N
Haskell, TX 79521-5415

Mailing address

1 Avenue N
Haskell, TX 79521-5415
Phone (940) 228-4321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190916000298 TX Practitioner - Family Practice 0446560296 Reassigns benefits to 5 organizations
I20220329001321 MT Practitioner - Family Practice 0446560296 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Virginia School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Haskell County HospitalGroup PAC ID 1355440413, 12 clinicians
Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians
Daniels Memorial HospitalGroup PAC ID 4880685965, shared by 3 NPIs, 21 clinicians

Practice addresses (Care Compare)

1 Ave N
Haskell, TX 79521-5415
Phone 9402284321305

1500 S Sunset Ave
Littlefield, TX 79339-4899
Phone (806) 385-6411

440 W Laurel Ave
Plentywood, MT 59254-1526
Phone (406) 765-3700

818 2ND Ave E
Culbertson, MT 59218-9346
Phone (406) 787-6401

818 2ND Ave E
PO Box 419
Culbertson, MT 59218-0419

P O Box
Scobey, MT 59263-0400

PO Box
Scobey, MT 59263

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Oct 15, 2019 Accepting new patients
Haskell County Hospital CurrentSince Jan 1, 2026 Accepting new patients
Sheridan Memorial Hospital Association CurrentSince Mar 14, 2022 Accepting new patients
Haskell County Hospital CurrentSince Jan 1, 2026 Accepting new patients
Culbertson Froid Bainville Health Care Corporation CurrentSince Jul 9, 2022 Accepting new patients
Daniels Memorial Hospital CurrentSince Nov 1, 2022 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Oct 15, 2019 Accepting new patients
Sheridan Memorial Hospital Association CurrentSince Mar 14, 2022 Accepting new patients
Daniels Memorial Hospital CurrentSince Nov 1, 2022 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

818 2nd Ave E
Culbertson, MT 59218
Phone (406) 787-6400

440 W Laurel Ave
Plentywood, MT 59254
Phone (406) 765-1420

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

1 Avenue N
Haskell, TX 79521
Phone (940) 228-4321

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

821 Jeffee Dr
Kermit, TX 79745
Phone (432) 586-2040

1500 S Sunset Ave
Littlefield, TX 79339
Phone (806) 385-6411

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sheridan Memorial HospicePlentywood, MT, CCN 271526 Hospice W-2 Managing Employee Mar 14, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1174904981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 AVENUE N",
            "city": "HASKELL",
            "state": "TX",
            "postal_code": "795215415",
            "telephone_number": "940-228-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AVENUE N",
            "city": "HASKELL",
            "state": "TX",
            "postal_code": "795215415",
            "telephone_number": "940-228-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHBODAGHI",
        "first_name": "SIAVASH",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD/MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-17",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R8826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haskell, TX

Sources for this page

Verify at the official NPI Registry.