SHANA MONIKA MACHADO D.O.
NPI 1003158189
Internal Medicine - Nephrology in Birmingham, AL

Q: What is Shana Machado's NPI number?

The NPI number for Shana Machado is 1003158189. It was assigned to this individual provider in the NPPES registry on March 26, 2013.

Q: What is Shana Machado's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Shana Machado was last updated on February 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since March 26, 2013PECOS EnrolledAccepts Medicare Assignment

619 19TH ST S, BIRMINGHAM, AL 35249(205) 934-4011 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 14, 2019, Apr 10, 2019, Jan 10, 2017 and 1 more (4 updates tracked since 2016).

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About Shana Monika Machado D.o. NPPES

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

SHANA MONIKA MACHADO D.O. (NPI 1003158189) is an individual nephrology provider in Birmingham, Alabama, licensed in Alabama (DO.1964) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1003158189

Entity TypeIndividualFemale

Primary Taxonomy207RN0300X

Provider Legal NameSHANA MONIKA MACHADOCredential: D.O.

Location Address619 19TH ST SBirmingham, AL 35249-1501

Mailing Address6431 Fannin St, Suite Msb 5.134Houston, TX 77030-1501 · (713) 500-6868 · Fax (713) 500-6882

Phone(205) 934-4011

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateMarch 26, 2013

Last NPPES UpdateFebruary 1, 20244 updates tracked since enumeration

✔ NPI 1003158189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Licenses✔ Licensed in AL · DO.1964✔ Licensed in AL · 1964

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License 012088 (OH)

619 19TH ST S, Birmingham, AL 35249

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Secondary Practice Locations 2

Location 16431 Fannin St, Suite MSB 5.134Houston, TX 77030-1501 · Phone (713) 500-6868 · Fax (713) 500-6882

Location 21915 6th Ave SBirmingham, AL 35233-2003 · Phone (205) 975-9200 · Fax (205) 996-6555

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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

Shana Monika Machado D.o. 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 ID2163665100

PECOS Enrollment IDI20190521003536

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 Reassignments

Medicare enrollment records show Shana Machado reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Alabama Health Services Foundation, PC

0.9 mi

Ambulatory Surgical

2000 6TH AVE SOUTH
Birmingham, AL 35233

Reassigned Medicare billing, Alabama enrollment
4,494 clinicians in this Medicare group

NPI 1124213376 (205) 801-8000

Signify Health Medical Associates, PLLC

582 mi

General Practice

4055 VALLEY VIEW LN STE 700
Dallas, TX 75244

Reassigned Medicare billing, Texas enrollment
1,246 clinicians in this Medicare group

NPI 1750845863 (972) 715-3800

Dallas Nephrology Associates

587 mi

Nephrology

1505 LBJ FWY STE 700
Dallas, TX 75234

Reassigned Medicare billing, Texas enrollment
183 clinicians in this Medicare group

NPI 1861440109 (214) 358-2300

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 6

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 high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

163 services118 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

136 services47 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.

107 services47 patients

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.

42 services41 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

25 services25 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35249 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

$122.31 typical visit price

range $52.65 – $161.63

Typical copayment $30.57 (range $13.16 – $40.40)

Most-billed visit code 99204

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Prednisone, immediate release or delayed release, oral, 1 mg J7512

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers23 claims3,450 services$0.01 avg. paid by Medicare

Mycophenolic acid, oral, 180 mg J7518

Treatment-Treatment - Miscellaneous · category RX029N

4 suppliers11 claims2,400 services$1.03 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

5 suppliers26 claims26 services$17.38 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

4 suppliers15 claims18 services$12.71 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GARRETT WALKER COLBY MD

Radiology (Diagnostic Radiology)

619 19TH ST S, JT N342
BIRMINGHAM, AL 35249

Jefferson County (205) 934-3108

RIAZ MOHAMMED KARUKAPPADATH

Anesthesiology