NPIMap

Individual provider Active NPI

Shahar Madjar, MD

  • Specialist
  • Ishpeming, MI
National Provider Identifier
1740208701
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4301079421 Issued in MS
Practice address
901 Lakeshore Dr.
Suite 210
Ishpeming, MI 49849
Phone
(906) 485-2690
Fax
(906) 485-2736
NPI assigned
Jul 18, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4301079421 MS Primary

Addresses

Primary practice location

901 Lakeshore Dr.
Suite 210
Ishpeming, MI 49849

Mailing address

901 Lakeshore Dr.
Suite 210
Ishpeming, MI 49849
Phone (906) 485-2690

Other identifiers 5

IdentifierTypeStateIssuer
104856358MedicaidMI
4301079421OtherMSBOARD OF MEDICINE
SM079421OtherMIBCBS LICENSE
5315010427OtherMSBOARD OF PHARMACY
3405202022OtherMIBCBS PIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050412001278 MI Practitioner - Urology 9739155722 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baraga County Memorial HospitalGroup PAC ID 7416866611, shared by 6 NPIs, 17 clinicians

Practice addresses (Care Compare)

18341 US Hwy 41
Lanse, MI 49946-8024
Phone (906) 524-3320

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301079421MSMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Bell Physician Practices Inc CurrentSince Dec 1, 2013 Accepting new patients
Baraga County Memorial Hospital Current Accepting new patients
Baraga County Memorial Hospital CurrentSince Dec 1, 2025 Accepting new patients
Bell Physician Practices Inc CurrentSince Dec 1, 2013 Accepting new patients
Schoolcraft Memorial Hospital CurrentSince Feb 1, 2012 Accepting new patients
Baraga County Memorial Hospital CurrentSince Oct 1, 2023 Accepting new patients
Baraga County Memorial Hospital CurrentSince Oct 1, 2023 Accepting new patients
DLP Marquette Physician Practices Inc Past Accepting new patients
Schoolcraft Memorial Hospital Past Accepting new patients
Bell Medical Center PastSince Apr 30, 2013 Accepting new patients

Locations

901 Lakeshore Dr
Ishpeming, MI 49849
Phone (906) 485-2653

901 Lakeshore Dr
Ste 210
Ishpeming, MI 49849
Phone (906) 255-7780

18341 US Highway 41
Lanse, MI 49946
Phone (906) 524-3300

7870W US Highway 2
Manistique, MI 49854
Phone (906) 341-2153

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/71812193-7aa5-42d8-ba4c-ee45e2ea853f/

Organizations & group practices 10

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 7

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1740208701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 LAKESHORE DR.",
            "address_2": "SUITE 210",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "49849",
            "telephone_number": "906-485-2690",
            "fax_number": "906-485-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 LAKESHORE DR.",
            "address_2": "SUITE 210",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "49849",
            "telephone_number": "906-485-2690",
            "fax_number": "906-485-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADJAR",
        "first_name": "SHAHAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "4301079421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104856358",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF MEDICINE",
            "identifier": "4301079421",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS LICENSE",
            "identifier": "SM079421",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "5315010427",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "3405202022",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ishpeming, MI

Sources for this page

Verify at the official NPI Registry.