Active NPI
Shahpar Lohuddin, M.D.
- Internal Medicine Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301110035
- Practice address
- 22101 Moross Rd
Professional Building 2, Suite 50
Detroit, MI 48236-2148 - Phone
- (313) 343-7784
- NPI assigned
- Jun 2, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD17667 | RI | |
| Internal Medicine Physician | 207R00000X | 4301110035 | MI | Primary |
Addresses
Primary practice location
22101 Moross Rd
Professional Building 2, Suite 50
Detroit, MI 48236-2148
Mailing address
25202 Grissom Rd
Laguna Hills, CA 92653-5238
Phone (949) 616-8673
Other practice location 1
125 Metro Center Blvd Ste 2000
Warwick, RI 02886-1785
Phone (401) 921-9202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2200 Northern Blvd
100C St Francis Diagnostic
Greenvale, NY 11548-1220
Phone (516) 325-7400
38 Arbor Field Way
Lake Grove, NY 11755-1837
Phone (718) 223-4685
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD17667 | RI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHS Physician Partners, P.C | Current | Accepting new patients | |
| St. Francis Cardiac Prevention Services PC | Diagnostic Radiology | Current | Accepting new patients |
| CHS Physician Partners, PC | Current | Accepting new patients | |
| Empire State Radiology P C | Diagnostic Radiology | Current | Accepting new patients |
| Bethpage Medical, PLLC | Past | Accepting new patients | |
| Nrad Medical Associates, PC | Internal Medicine | Past | Accepting new patients |
Locations
16303 Horace Harding Expy
Ste 100
Fresh Meadows, NY 11365
Phone (718) 454-4600
2200 Northern Blvd
Ste 118
Greenvale, NY 11548
Phone (516) 563-7910
2200 Northern Blvd
Ste 100C
Greenvale, NY 11548
Phone (516) 325-7400
510 Hicksville Rd
Massapequa, NY 11758
Phone (516) 729-2626
12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511
4 Ohio Dr
New Hyde Park, NY 11042
Phone (516) 519-8260
992 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-2910
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
1000 N Village Ave
#13202
Rockville Ctr, NY 11570
100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385
2500 Nesconset Hwy
Bldg 7D
Stony Brook, NY 11790
Phone (631) 751-3322
12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Organizations & group practices 6
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.
-
- Diagnostic Radiology Physician
- West Islip, NY
- NPI 1255962783
-
- Diagnostic Radiology Physician
- Melville, NY
- NPI 1376952804
-
- Interventional Cardiology Physician
- Fresh Meadows, NY
- NPI 1407089345
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
-
- Obstetrics & Gynecology Physician
- Garden City, NY
- NPI 1205074739
-
- Diagnostic Radiology Physician
- Garden City, NY
- NPI 1841228582
Internal Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Islip, NY
- NPI 1902865355
-
- General Acute Care Hospital
- Bay Shore, NY
- NPI 1457369381
-
- General Acute Care Hospital
- Port Jefferson, NY
- NPI 1164481529
-
- General Acute Care Hospital
- Smithtown, NY
- NPI 1982663423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619568000000",
"number": "1972951796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25202 GRISSOM RD",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926535238",
"telephone_number": "949-616-8673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22101 MOROSS RD",
"address_2": "PROFESSIONAL BUILDING 2, SUITE 50",
"city": "DETROIT",
"state": "MI",
"postal_code": "482362148",
"telephone_number": "313-343-7784"
}
],
"practiceLocations": [
{
"address_1": "125 Metro Center Blvd Ste 2000",
"address_purpose": "LOCATION",
"city": "Warwick",
"state": "RI",
"postal_code": "028861785",
"country_code": "US",
"telephone_number": "401-921-9202",
"fax_number": "401-921-9212",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOHUDDIN",
"first_name": "SHAHPAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-02",
"last_updated": "2021-04-28",
"certification_date": "2021-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "RI",
"license": "MD17667",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301110035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.