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DR. SHAILAJA DEVI ABBISETTY MD
NPI 1083403554
Student in an Organized Health Care Education/Training Program in Warren, MI

Active since May 01, 2025PECOS Enrolled
11885 E 12 MILE RD STE 200B, WARREN, MI 48093(586) 582-6630(586) 582-6631 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shailaja Devi Abbisetty Md NPPES

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

DR. SHAILAJA DEVI ABBISETTY MD (NPI 1083403554) is an individual student in an organized health care education/training program in Warren, Michigan and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083403554
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. SHAILAJA DEVI ABBISETTYCredential: MD
Location Address11885 E 12 MILE RD STE 200BWarren, MI 48093-3469
Mailing Address11885 E 12 Mile Rd Ste 200bWarren, MI 48093-3469 · (586) 582-6630 · Fax (586) 582-6631
Phone(586) 582-6630
Fax(586) 582-6631
Sole ProprietorYes
Enumeration DateMay 1, 2025
NPPES CertifiedMay 1, 2025
✔ NPI 1083403554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
11885 E 12 MILE RD STE 200B, Warren, MI 48093
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shailaja Devi Abbisetty Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

BASSEL ALKHATIB MD
Student in an Organized Health Care Education/Training Program
11885 E 12 MILE RD STE 200B
WARREN, MI 48093
Macomb County (586) 582-6630
DAVID CARROLL
Student in an Organized Health Care Education/Training Program
11885 E 12 MILE RD STE 200B
WARREN, MI 48093
Macomb County (586) 582-6630
SHUROUK KATTAN RAHMANI MD
Student in an Organized Health Care Education/Training Program
11885 E 12 MILE RD STE 200B
WARREN, MI 48093
Macomb County (586) 582-6630
DR. OMAR AL DAOUD MD
Student in an Organized Health Care Education/Training Program
11885 E 12 MILE RD STE 200B
WARREN, MI 48093
Macomb County (586) 582-6630
JACOB ROBERT KLEIN M.D.
Student in an Organized Health Care Education/Training Program
11885 E 12 MILE RD STE 200B
WARREN, MI 48093
Macomb County (586) 582-6630
PRATYUSHA VELDHI DO
Student in an Organized Health Care Education/Training Program
11885 E 12 MILE RD STE 200B
WARREN, MI 48093
Macomb County (586) 582-6630
AHMED HUSSAIN MD
Student in an Organized Health Care Education/Training Program
11885 E 12 MILE RD STE 200B
WARREN, MI 48093
Macomb County (586) 582-6630
YAZEED KHALED ALMAET MD
Student in an Organized Health Care Education/Training Program
11885 E 12 MILE RD STE 200B
WARREN, MI 48093
Macomb County (586) 582-6630

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 Shailaja Abbisetty's NPI number?

The NPI number for Shailaja Abbisetty is 1083403554. It was assigned to this individual provider in the NPPES registry on May 1, 2025.

Where is Shailaja Abbisetty located?

Shailaja Abbisetty practices at 11885 E 12 Mile Rd Ste 200B, Warren, MI 48093. The listed phone number is (586) 582-6630.

What is Shailaja Abbisetty's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shailaja Abbisetty enrolled in Medicare?

Yes. Shailaja Abbisetty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shailaja Abbisetty was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.