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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: November 08, 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
Phone(862) 336-1200
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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Shideh Doroudi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Joseph's Healthcare, Inc.
0.7 mi
Internal Medicine
703 MAIN ST, ST. JOSEPH'S REGIONAL MEDICAL CENTER
Paterson, NJ 07503
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: St Josephs Healthcare Inc
  • 372 clinicians in this Medicare group
NPI 1497791297 (973) 754-2000
St Josephs Medical Group PC
0.7 mi
Internal Medicine
703 MAIN ST
Paterson, NJ 07503
  • Reassigned Medicare billing, New Jersey enrollment
  • 317 clinicians in this Medicare group
NPI 1205425519 (973) 754-2000
Browne Medical, LLC
25 mi
Urgent Care
907 OAK TREE AVE STE H
South Plainfield, NJ 07080
  • Reassigned Medicare billing, New Jersey enrollment
  • 40 clinicians in this Medicare group
NPI 1851733349 (908) 222-3500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Shideh Doroudi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shideh Doroudi reassigns Medicare benefits to 3 organizations: St. Joseph's Healthcare, Inc. (Paterson, NJ), St Josephs Medical Group PC (Paterson, NJ) and Browne Medical, LLC (South Plainfield, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shideh Doroudi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shideh Doroudi accept?

Health plans from Ambetter Health and Oscar Health 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 12 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.