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Active NPI 1528558277 Individual Practitioner Male Practitioner

Dr. Shivashankar Damodaran , MD

Urology • Port Huron, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Shivashankar Damodaran, MD is a certified Urology practicing in Port Huron, MI. With approximately 21 years of clinical experience since completing medical education in 2005, Dr. Damodaran delivers high-quality medical care to the local community at 2611 ELECTRIC AVE STE E.

Dr. Damodaran is affiliated with Port Huron Physicians Medical Group Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least, urinalysis, manual test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2611 Electric Ave Ste E

Port Huron, MI 480606587

Telephone 8102163599

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Port Huron, MI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
21 Yrs -3.6 yrs vs City Avg
City Avg: 24.6 Yrs
State Avg: 25.6 Yrs
Regional Practice Density
6 Specialists

Practicing in Port Huron, MI (479 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
56.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Damodaran (21 Years) 21 Yrs
Port Huron Specialty Average (24.6 Years) 24.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
169 85 $373.00 $120.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
78 68 $395.00 $125.09
81002 Urinalysis, manual test
74 47 $10.01 $3.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
72 72 $489.00 $159.49
99231 Follow-up hospital inpatient care per day, typically 15 minutes
54 24 $113.00 $47.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
38 24 $208.00 $75.46
99213 Established patient office or other outpatient visit, typically 15 minutes
32 24 $264.00 $83.77
52000 Diagnostic exam of bladder and urethra using an endoscope
25 25 $392.83 $220.35
51798 Ultrasound measurement of bladder capacity after voiding
17 14 $36.00 $10.23
52356 Crushing of stone of ureter with insertion of stent using an endoscope
17 14 $803.49 $396.02
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope
14 12 $473.00 $296.71
76775 Limited ultrasound scan behind abdominal cavity
14 14 $112.00 $55.45

Medical Specialties & State Licenses

CMS Verified: 2025-05-25
Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License MI 4301508337

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.

Hospital & Practice Group Affiliations

Port Huron Physicians Medical Group Pc

2601 Electric Ave, Port Huron, MI 480606587

Phone: 8109851500

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location May 25, 2025

Registered at 2611 ELECTRIC AVE STE E, PORT HURON, MI 480606587 (Tel: 8102163599)

📍
Updated Business Mailing Address January 16, 2025

Registered at 2611 ELECTRIC AVE STE E, PORT HURON, MI 480606587 (Tel: 8102163599)

📍
Updated Practice Location December 04, 2023

Registered at 2601 ELECTRIC AVE, PORT HURON, MI 480606587 (Tel: 8102161094)

📍
Updated Business Mailing Address December 04, 2023

Registered at 2601 ELECTRIC AVE, PORT HURON, MI 480606587 (Tel: 8102161094)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2023

Urology (License #4301508337 in MI)

NPI Profile Active May 17, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 17, 2018

Registered at 3000 ARLINGTON AVE # MS 1095, TOLEDO, OH 436142598 (Tel: 4193836462)

📍
Updated Business Mailing Address May 17, 2018

Registered at 3000 ARLINGTON AVE # MS 1095, TOLEDO, OH 436142598 (Tel: 4193836462)

👤
Provider Name / Credentials Updated May 17, 2018

Recorded as SHIVASHANKAR DAMODARAN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 17, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528558277
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2018
Last Update: May 25, 2025
Sole Proprietor: No

Mailing Address

2611 Electric Ave Ste E

Port Huron, MI 480606587

Phone: 8102163599

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.