SHAYE DOSTAL PA
NPI 1104796234
Anesthesiology - Pain Medicine in Kenosha, WI
About Shaye Dostal Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAYE DOSTAL PA (NPI 1104796234) is an individual pain medicine provider in Kenosha, Wisconsin, licensed in Wisconsin (870923) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lake Geneva, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2025).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shaye Dostal Pa 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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KENOSHA, WI 53144
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 Shaye Dostal's NPI number?
The NPI number for Shaye Dostal is 1104796234. It was assigned to this individual provider in the NPPES registry on November 5, 2025.
Where is Shaye Dostal located?
Shaye Dostal practices at 4824 Green Bay Rd, Kenosha, WI 53144. The listed phone number is (262) 299-6199.
What is Shaye Dostal's specialty?
The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.
Is Shaye Dostal enrolled in Medicare?
Yes. Shaye Dostal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Shaye Dostal was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Shaye Dostal, PA · NPI 1104796234
Pain Medicine physician in Kenosha, Wisconsin. Individual provider, active in the CMS NPPES registry since November 5, 2025.
## Identity
- **NPI:** 1104796234 (Entity type: Individual)
- **Enumerated:** November 5, 2025
- **Primary specialty:** Anesthesiology - Pain Medicine · taxonomy 207LP2900X
- **State license:** 870923 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 4824 GREEN BAY RD, Kenosha, WI 53144-1789
- **Phone:** (262) 299-6199
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Midwestern University, Chicago College Of Osteopathic Med, class of 2025
## Record status
- **NPPES last updated:** November 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104796234) · Data from the CMS NPPES public registry.