SHIVASHANKAR DAMODARAN MD
NPI 1528558277
Urology in Port Huron, MI

Q: 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.

Q: What is Shivashankar Damodaran's specialty?

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

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: October 25, 2026.

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

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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

Phone(810) 216-3599

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority 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

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.

Medicare Billing Reassignment

Medicare enrollment records show Shivashankar Damodaran reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Port Huron Physicians Medical Group PC

5.2 mi

Family Medicine

4190 24TH AVE, SUITE 206
Fort Gratiot, MI 48059

Reassigned Medicare billing, Michigan enrollment
24 clinicians in this Medicare group

NPI 1598141640 (810) 216-4000

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 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

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

32 services24 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

25 services25 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

17 services14 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

17 services14 patients

Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope 52310

This is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.

14 services12 patients

Limited ultrasound scan behind abdominal cavity 76775

A limited ultrasound scan behind the abdominal cavity is a non-invasive imaging method that helps visualize structures in the back of your abdomen. This procedure uses sound waves to create pictures of these areas, assisting in diagnosing certain conditions.

14 services14 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

Quality

100

Improvement Activities

Cost

54.15

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.

Which organization bills Medicare for Shivashankar Damodaran's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shivashankar Damodaran reassigns Medicare benefits to Port Huron Physicians Medical Group PC (Fort Gratiot, MI). The 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 Shivashankar Damodaran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shivashankar Damodaran accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company 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 17 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.