Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SHADOWS OYE BEDELL D.D.S.
NPI 1083663702
Dentist - General Practice in Detroit, MI

Q: What is Shadows Bedell's NPI number?

The NPI number for Shadows Bedell is 1083663702. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Q: What is Shadows Bedell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Shadows Bedell was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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 May 09, 2006PECOS Enrolled

19600 VAN DYKE STREET, DETROIT, MI 48234(313) 892-9100(313) 892-0204 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Shadows Oye Bedell D.d.s. NPPES

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

DR. SHADOWS OYE BEDELL D.D.S. (NPI 1083663702) is an individual general practice provider in Detroit, Michigan, licensed in Michigan (2901012360) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083663702

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. SHADOWS OYE BEDELLCredential: D.D.S.

Location Address19600 VAN DYKE STREETDetroit, MI 48234-3328

Mailing Address19600 Van Dyke StreetDetroit, MI 48234-3328 · (313) 892-9100 · Fax (313) 892-0204

Phone(313) 892-9100

Fax(313) 892-0204

Sole ProprietorNo

Enumeration DateMay 9, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1083663702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MI · 2901012360

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

19600 VAN DYKE STREET, Detroit, MI 48234

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Other Identifiers 2

Medicaid1240515450372MI

Medicaid1242908490512MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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. Shadows Oye Bedell D.d.s. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48234 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

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

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 Shadows Bedell's NPI number?

The NPI number for Shadows Bedell is 1083663702. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Where is Shadows Bedell located?

Shadows Bedell practices at 19600 Van Dyke Street, Detroit, MI 48234. The listed phone number is (313) 892-9100.

What is Shadows Bedell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Shadows Bedell enrolled in Medicare?

Yes. Shadows Bedell is registered in the Medicare PECOS enrollment system.

What insurance does Shadows Bedell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 14 other insurers list Shadows Bedell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shadows Bedell was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.