SHIVASHANKAR DAMODARAN MD
NPI 1528558277
Urology in Port Huron, MI

Active since May 17, 2018PECOS EnrolledAccepts Medicare Assignment
90.52/100
CMS Quality Rating
2611 ELECTRIC AVE STE E, PORT HURON, MI 48060(810) 216-3599 Get Directions Write a Review

NPPES record last updated: May 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 25, 2025, Dec 4, 2023, May 17, 2018 (3 updates tracked since 2018).

About Shivashankar Damodaran Md NPPES

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

SHIVASHANKAR DAMODARAN MD (NPI 1528558277) is an individual urology provider in Port Huron, Michigan, licensed in Michigan (4301508337) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Lake Huron Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1528558277
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameSHIVASHANKAR DAMODARANCredential: MD
Location Address2611 ELECTRIC AVE STE EPort Huron, MI 48060-6587
Mailing Address2611 Electric Ave Ste EPort Huron, MI 48060-6587 · (810) 216-3599 · Fax (833) 329-4076
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 17, 2018
Last NPPES UpdateMay 25, 20253 updates tracked since enumeration
NPPES CertifiedMay 25, 2025
NPI 1528558277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in MI · 4301508337
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
2611 ELECTRIC AVE STE E, Port Huron, MI 48060

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

Shivashankar Damodaran 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 ID2264781186
PECOS Enrollment IDI20230919003815
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 12

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.
169 services85 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
78 services68 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
74 services47 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
72 services72 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
54 services24 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
38 services24 patients

Hospital Affiliations CMS Care Compare

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

Lake Huron Medical Center

Acute Care Hospitals · Port Huron, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230031
Location2601 Electric AvenuePort Huron, MI 48060 · St. Clair County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48060 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost54.15

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 Shivashankar Damodaran's NPI number?

The NPI number for Shivashankar Damodaran is 1528558277. It was assigned to this individual provider in the NPPES registry on May 17, 2018.

Where is Shivashankar Damodaran located?

Shivashankar Damodaran practices at 2611 Electric Ave Ste E, Port Huron, MI 48060. The listed phone number is (810) 216-3599.

What is Shivashankar Damodaran's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Shivashankar Damodaran enrolled in Medicare?

Yes. Shivashankar Damodaran 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 Shivashankar Damodaran accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Shivashankar Damodaran 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 Shivashankar Damodaran affiliated with any hospitals?

According to CMS data, Shivashankar Damodaran is affiliated with Lake Huron Medical Center.

When was this NPI record last updated?

The NPPES record for Shivashankar Damodaran was last updated on May 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.