Individual provider Active NPI

Mohammad S Shukairy, M.D.

  • Neurological Surgery Physician
  • Merrillville, IN
National Provider Identifier
1952510653
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
01068532A Issued in IN
Practice address
9001 Broadway
Merrillville, IN 46410-7041
Phone
(219) 795-3360
Fax
(833) 992-2283
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 4301080278 MI
Neurological Surgery Physician 207T00000X 01068532A IN Primary

Addresses

Primary practice location

9001 Broadway
Merrillville, IN 46410-7041

Mailing address

801 Macarthur Blvd Ste 405
Munster, IN 46321-2919
Phone (219) 836-5167

Other practice location 1

801 MacArthur Blvd
Ste 405
Munster, IN 46321-2919
Phone (219) 836-5167

Other practice location 2

2213 Main St
Highland, IN 46322-3650
Phone (219) 795-3360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20101123000113 IN Practitioner - Neurosurgery 2163575218 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesterton Physical Therapy IncGroup PAC ID 3173683984, 191 clinicians
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians
Bone and Joint Specialists, P.C.Group PAC ID 8820018583, 22 clinicians

Practice addresses (Care Compare)

425 Sand Creek Dr
Chesterton, IN 46304-1589

801 Macarthur Blvd
Munster, IN 46321-2919

9001 Broadway
Merrillville, IN 46410-7041
Phone (219) 795-3360

901 Macarthur Blvd
Munster, IN 46321-2901
Phone (219) 836-4563

9130 Columbia Ave
Munster, IN 46321-2932

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion163
Laminectomy or laminotomy (partial removal of spine bones)101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01068532AINMDNeurological Surgery Physician
4301080278MIMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bone & Joint Specialists, PC CurrentSince Aug 1, 2023 Accepting new patients
Community Care Network Inc Neurological Surgery CurrentSince Jul 1, 2012 Accepting new patients
Northwest Community Hospital Past Accepting new patients

Locations

2213 Main St
Highland, IN 46322
Phone (219) 795-3360

1600 S Lake Park Ave
Ste 1102
Hobart, IN 46342
Phone (219) 736-6955

8558 Broadway
Merrillville, IN 46410
Phone (219) 392-7084

9001 Broadway
Merrillville, IN 46410
Phone (219) 795-3360

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

9307 Calumet Ave
Ste A2
Munster, IN 46321
Phone (219) 836-2274

801 MacArthur Blvd
Ste 405
Munster, IN 46321
Phone (219) 836-5040

9660 Wicker Ave
Saint John, IN 46373
Phone (219) 226-2203

Interoperability endpoints

  • Direct secure messaging: mohammad.shukairy.1@22358.direct.athenahealth.com
  • Direct secure messaging: mshukairy1626@ssdirect.comhs.org

Organizations & group practices 4

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 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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1952510653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MACARTHUR BLVD STE 405",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212919",
            "telephone_number": "219-836-5167",
            "fax_number": "219-836-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107041",
            "telephone_number": "219-795-3360",
            "fax_number": "833-992-2283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 MacArthur Blvd",
            "address_2": "Ste 405",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463212919",
            "country_code": "US",
            "telephone_number": "219-836-5167",
            "fax_number": "219-836-5249",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2213 Main St",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "IN",
            "postal_code": "463223650",
            "country_code": "US",
            "telephone_number": "219-795-3360",
            "fax_number": "833-992-2283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUKAIRY",
        "first_name": "MOHAMMAD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "4301080278",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IN",
            "license": "01068532A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.