SHIDEH DOROUDI MD
NPI 1427452465
Family Medicine in Paterson, NJ

Active since October 20, 2014PECOS EnrolledAccepts Medicare Assignment
1020 MAIN ST STE C, PATERSON, NJ 07503(862) 336-1200(862) 236-1202 Get Directions Write a Review

NPPES record last updated: October 20, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shideh Doroudi Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIDEH DOROUDI MD (NPI 1427452465) is an individual family medicine provider in Paterson, New Jersey, licensed in New Jersey (25MA09499400) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, is affiliated with St Joseph's University Medical Center Inc, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1427452465
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHIDEH DOROUDICredential: MD
Location Address1020 MAIN ST STE CPaterson, NJ 07503-2244
Mailing Address1020 Main St Ste CPaterson, NJ 07503-2244 · (862) 336-1200 · Fax (862) 236-1202
Fax(862) 236-1202
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateOctober 20, 2014
NPI 1427452465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NJ · 25MA09499400
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1020 MAIN ST STE C, Paterson, NJ 07503

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shideh Doroudi Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153644109
PECOS Enrollment IDI20141223000604
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
32 services21 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number310019
Location703 Main StPaterson, NJ 07503 · Passaic County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shideh Doroudi's NPI number?

The NPI number for Shideh Doroudi is 1427452465. It was assigned to this individual provider in the NPPES registry on October 20, 2014.

Where is Shideh Doroudi located?

Shideh Doroudi practices at 1020 Main St Ste C, Paterson, NJ 07503. The listed phone number is (862) 336-1200.

What is Shideh Doroudi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shideh Doroudi enrolled in Medicare?

Yes. Shideh Doroudi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shideh Doroudi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Molina Healthcare list Shideh Doroudi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shideh Doroudi affiliated with any hospitals?

According to CMS data, Shideh Doroudi is affiliated with St Joseph's University Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Shideh Doroudi was last updated on October 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.