Individual provider Active NPI

Hadir Shakshouk, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Greenwood Village, CO
National Provider Identifier
1528941069
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
TL.0010781 Issued in CO
Practice address
5335 S Valentia Way Apt 427
Greenwood Village, CO 80111-3127
Phone
(720) 793-9122
NPI assigned
Jul 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X TL.0010781 CO Primary

Addresses

Primary practice location

5335 S Valentia Way Apt 427
Greenwood Village, CO 80111-3127

Mailing address

5335 S Valentia Way Apt 427
Greenwood Village, CO 80111-3127
Phone (720) 793-9122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TL.0010781COMDAnatomic Pathology & Clinical Pathology Physician

NPI Registry JSON

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1528941069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5335 S VALENTIA WAY APT 427",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801113127",
            "telephone_number": "720-793-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5335 S VALENTIA WAY APT 427",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801113127",
            "telephone_number": "720-793-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKSHOUK",
        "first_name": "HADIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CO",
            "license": "TL.0010781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.