Kamran K Shokoohi, MD PHD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301067707 Issued in MI

Practice address

2393 Schust Rd
Saginaw, MI 48603-1334

Phone

(989) 793-2820

Fax

(989) 793-9132

NPI assigned

Aug 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in MI

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 1

Specialty

Ophthalmology

Education

Wayne State University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Great Lakes Eye InstituteGroup PAC ID 5799699534, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.73 of 100Reported as group

Quality

85.25

Improvement activities

40

Cost

75.43

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kks@glei.ecldirect.net

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.

• Great Lakes Eye Institute

  • Retina Specialist (Ophthalmology) Physician
  • Saginaw, MI
  • NPI 1427090976
  Medicare reassignment Care Compare group NPD
• Great Lakes Eye Institute

  • Ophthalmology Physician
  • Saginaw, MI
  • NPI 1992985840
  NPD
• Great Lakes Eye Institute

  • Ophthalmology Physician
  • Saginaw, MI
  • NPI 1063680791
  NPD (past)
• Great Lakes Eye Institute

  • Ophthalmology Physician
  • Alma, MI
  • NPI 1346424272
  NPD (past)
• Great Lakes Eye Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Saginaw, MI
  • NPI 1265542849
  NPD (past)

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1427041045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2393 SCHUST RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486031334",
            "telephone_number": "989-793-2820",
            "fax_number": "989-793-9132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2393 SCHUST RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486031334",
            "telephone_number": "989-793-2820",
            "fax_number": "989-793-9132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "623 W Warwick Dr",
            "address_purpose": "LOCATION",
            "city": "Alma",
            "state": "MI",
            "postal_code": "488011177",
            "country_code": "US",
            "telephone_number": "989-463-1126",
            "fax_number": "989-755-1463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "406 W Genesee St",
            "address_purpose": "LOCATION",
            "city": "Frankenmuth",
            "state": "MI",
            "postal_code": "487341335",
            "country_code": "US",
            "telephone_number": "989-652-2020",
            "fax_number": "989-755-1463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "407 W Wackerly St",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "MI",
            "postal_code": "486402739",
            "country_code": "US",
            "telephone_number": "989-631-1345",
            "fax_number": "989-755-1463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1671 E US 23",
            "address_purpose": "LOCATION",
            "city": "East Tawas",
            "state": "MI",
            "postal_code": "487309302",
            "country_code": "US",
            "telephone_number": "989-362-4401",
            "fax_number": "989-755-1463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Woodside Ave",
            "address_purpose": "LOCATION",
            "city": "Bay City",
            "state": "MI",
            "postal_code": "487085468",
            "country_code": "US",
            "telephone_number": "989-892-6616",
            "fax_number": "989-755-1463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "345 N State St",
            "address_purpose": "LOCATION",
            "city": "Caro",
            "state": "MI",
            "postal_code": "487231537",
            "country_code": "US",
            "telephone_number": "989-872-3800",
            "fax_number": "989-755-1463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOKOOHI",
        "first_name": "KAMRAN",
        "middle_name": "K",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301067707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4182000",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0G36036",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "180G300890",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1427090976",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "180G300890",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4187472",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "43010067707",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA3610",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Linden Shinners, MD
• Myneshia Umeki Shipman, LPN
• Angela Shipperley, MOT, OTR/L
• Amanda Shoemaker, AGPCNP-BC
• Farhad K Shokoohi, MD
• Nicholas David Shokoohi, M.D.
• Donna Short
• Saphonia Shorts
• Shoukat & Kaneez Family Physicians PLLC
• Korrey C Shoup

• Ophthalmology Physician in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.