Individual provider Active NPI

Jalil Shojaei-Moghaddam, M.D.

  • Neurology Physician
  • Farmington Hills, MI
National Provider Identifier
1194771337
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
36234 Issued in KY
Practice address
27555 Middlebelt Rd
Farmington Hills, MI 48334-5011
Phone
(248) 478-5512
Fax
(248) 478-5350
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 36234 KY
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 36234 KY
Neurology Physician 2084N0400X 36234 KY Primary

Addresses

Primary practice location

27555 Middlebelt Rd
Farmington Hills, MI 48334-5011

Mailing address

27555 Middlebelt Rd
Farmington Hills, MI 48334-5011
Phone (248) 478-5512

Other identifiers 1

IdentifierTypeStateIssuer
64941289MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080918000045 KY Practitioner - Neurology 9537235635 Reassigns benefits to 2 organizations
I20170109001343 MI Practitioner - Neurology 9537235635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Drexel University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Neurology PCGroup PAC ID 6406827260, 14 clinicians

Practice addresses (Care Compare)

27555 Middlebelt Rd
Farmingtn HLS, MI 48334-5011
Phone (248) 478-5512

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.24 of 100Reported as group
Quality
98.99
Promoting interoperability
100
Improvement activities
40
Cost
80.82

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Neurology, PC Neurology CurrentSince Mar 1, 2017 Accepting new patients
Ephraim McDowell Regional Medical Center, Incorporated CurrentSince Jul 20, 2014 Accepting new patients
Ephraim McDowell Health Resource, Inc CurrentSince Feb 2, 2015 Accepting new patients
Ephraim McDowell Health Resource, Inc CurrentSince Feb 2, 2015 Accepting new patients
Ephraim McDowell Health Resource, Inc. Current Accepting new patients
Danville Pathology Associates PLLP Current Accepting new patients
Ephraim McDowell Regional Medical Center Incorporated CurrentSince Jul 20, 2014 Accepting new patients
Associates in Neurology, PSC Specialist Past Accepting new patients

Locations

109 Daniel Dr
Danville, KY 40422
Phone (859) 236-3361

216 W Walnut St
Ste A
Danville, KY 40422
Phone (859) 239-5870

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

27555 Middlebelt Rd
Farmington Hills, MI 48334
Phone (248) 478-5512

5130 Parkway Plaza Blvd
Charlotte, NC 28217

Interoperability endpoints

  • Direct secure messaging: jshojaeimoghaddam1151204@direct.hfhs.org

Organizations & group practices 8

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1194771337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27555 MIDDLEBELT RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483345011",
            "telephone_number": "248-478-5512",
            "fax_number": "248-478-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27555 MIDDLEBELT RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483345011",
            "telephone_number": "248-478-5512",
            "fax_number": "248-478-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOJAEI-MOGHADDAM",
        "first_name": "JALIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "36234",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "KY",
            "license": "36234",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "36234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64941289",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.