Shyam Sunder Moudgil, MD - Medicare Neurology in Roseville, MI

Shyam Sunder Moudgil, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Roseville, Michigan. He went to West Virginia University School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Lakeside Neurology P C and his current practice location is 25195 Kelly Rd, Suite B, Roseville, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 777-3370.

Shyam Sunder Moudgil is licensed to practice in Michigan (license number 4301069080) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1740390848.

Contact Information

Shyam Sunder Moudgil, MD
25195 Kelly Rd, Suite B,
Roseville, MI 48066-4909
(586) 777-3370
(586) 777-3380

Map and Direction




Physician's Profile

Full NameShyam Sunder Moudgil
GenderMale
SpecialityNeurology
Experience23 Years
Location25195 Kelly Rd, Roseville, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shyam Sunder Moudgil attended and graduated from West Virginia University School Of Medicine in 2001
  NPI Data:
  • NPI Number: 1740390848
  • Provider Enumeration Date: 08/30/2006
  • Last Update Date: 03/02/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 3476716770
  • Enrollment ID: I20120524000335

Medical Identifiers

Medical identifiers for Shyam Sunder Moudgil such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740390848NPI-NPPES
4399330MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 4301069080 (Michigan)Secondary
2084N0400XPsychiatry & Neurology - Neurology 4301069080 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Beaumont Hospital - Grosse PointeGrosse pointe, MIHospital
Henry Ford Macomb HospitalClinton township, MIHospital
Ascension St John HospitalDetroit, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lakeside Neurology P C06482333532

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shyam Sunder Moudgil allows following entities to bill medicare on his behalf.
Entity NameLakeside Neurology P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982725735
PECOS PAC ID: 0648233353
Enrollment ID: O20041104000277

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shyam Sunder Moudgil is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shyam Sunder Moudgil, MD
25195 Kelly Rd, Suite B,
Roseville, MI 48066-4909

Ph: (586) 777-3370
Shyam Sunder Moudgil, MD
25195 Kelly Rd, Suite B,
Roseville, MI 48066-4909

Ph: (586) 777-3370

Reviews and Comments


Psychiatry & Neurology Doctors in Roseville, MI

Christie Cheng, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 25869 Kelly Rd Ste A, Roseville, MI 48066
Phone: 586-773-6020    Fax: 586-773-6093
Dr. Sharon Jean Myers, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 17017 E 12 Mile Rd, Roseville, MI 48066
Phone: 586-445-8910    
Paul A Cullis, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 25100 Kelly Rd, Roseville, MI 48066
Phone: 586-771-7440    Fax: 586-771-9966
Dr. Haresh S Mehta, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 25869 Kelly Rd, Suite A, Roseville, MI 48066
Phone: 586-773-6020    Fax: 586-773-6093
Vlad Cristian Nasta, DO
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 25100 Kelly Rd, Roseville, MI 48066
Phone: 248-553-0010    
Alicia G Lumley, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 25195 Kelly Rd, Suite B, Roseville, MI 48066
Phone: 586-777-3370    Fax: 586-777-3380
James Darryl Adamo, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 25509 Kelly Rd Ste A, Roseville, MI 48066
Phone: 586-252-2616    Fax: 313-563-8443

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.