Morteza Shahmir, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

20065 Issued in KY

Practice address

1211 Woodhurst St
Bowling Green, KY 42104-3368

Phone

(270) 782-7373

Fax

(270) 796-8676

NPI assigned

May 24, 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 2

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1699778506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 WOODHURST ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043368",
            "telephone_number": "270-782-7373",
            "fax_number": "270-796-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 WOODHURST ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043368",
            "telephone_number": "270-782-7373",
            "fax_number": "270-796-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHMIR",
        "first_name": "MORTEZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KY",
            "license": "20065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "1389436",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64200652",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jo Shackelford, ED.D., CCC-SLP
• Laura Shacklette, LPCC
• Emily Elizabeth Shaddox
• David Shadowen, M.D.
• Vivek Prakash Shah
• Areeba Shahnawaz, MD
• Shanna G. Burress, DMD, PSC
• Dawn Shannon, CSW
• Jacqualyn D Shannon
• Kyra Loraine Sharp, APRN

• Gastroenterology Physician in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Gastroenterology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.