Individual provider

Shawn Moulder, D.O.

Surgery Physician Medicare enrolled

Shawn Moulder, D.O. is a Surgery Physician in Dearborn, MI, registered under NPI 1770964496.

Getting there

The practice address on file is 18101 OAKWOOD BLVD, Dearborn, MI 48124. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

18101 OAKWOOD BLVD, Dearborn, MI 48124 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
5101022023 MI Surgery Physician primary

This provider holds licence 5101022023 issued in MI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - General Surgery
PAC ID
0042620130

Enrolled in Medicare 5 times, across 5 states:

StateEnrollment IDProvider type
Texas I20210729002778 Practitioner - General Surgery
Missouri I20230323000761 Practitioner - General Surgery
Mississippi I20241123000423 Practitioner - General Surgery
District of Columbia I20250702000422 Practitioner - General Surgery
Virginia I20250812003390 Practitioner - General Surgery

Medicare enrolment is recorded as approved under the provider type Practitioner - General Surgery. There are 5 separate enrolment records across 5 states (TX, MO, MS, DC, VA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Surgery covers

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. NUCC Health Care Provider Taxonomy, code 208600000X
Allopathic & Osteopathic Physicians Surgery

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1770964496 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 18, 2015
Last updatedJun 18, 2015
StatusActive
Sole proprietorNo
GenderMale
CredentialD.O.
Practice address 18101 OAKWOOD BLVD
Dearborn, MI 48124
(313) 593-7000
Mailing address 19756 S GLEN BLVD APT C
Brownstown Twp, MI 48183
This record was last updated on Jun 18, 2015, roughly 11 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1770964496 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 7 7 0 9 6 4 4 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 7 5 0 9 6 8 4 9

Sum = 74 · next multiple of 10 = 80 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1770964496?
NPI 1770964496 is the National Provider Identifier assigned to Shawn Moulder, D.O. in Dearborn, MI. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Surgery Physician cover?
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical…
How do I contact Shawn Moulder, D.O.?
The phone number on file with NPPES is (313) 593-7000, last updated Jun 18, 2015. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Shawn Moulder, D.O. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1770964496 a valid number?
Yes. 1770964496 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.