SHISHIR N SHETH
NPI 1144268012
Otolaryngology in Milwaukee, WI

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209(414) 352-3100(414) 247-4841 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2024, Nov 22, 2021, Dec 28, 2018 (3 updates tracked since 2018).

About Shishir N Sheth NPPES

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

SHISHIR N SHETH (NPI 1144268012) is an individual otolaryngology provider in Milwaukee, Wisconsin, licensed in Wisconsin (42276) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and maintains a secondary practice location in Rhinelander.

NPPES Registry Identity

NPI1144268012
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameSHISHIR N SHETH
Location Address3003 W GOOD HOPE RDMilwaukee, WI 53209
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Fax(414) 247-4841
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1993
Enumeration DateJune 3, 2006
Last NPPES UpdateAugust 7, 20243 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
NPI 1144268012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in WI · 42276
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
3003 W GOOD HOPE RD, Milwaukee, WI 53209

Secondary Practice Location 1

Location 12251 N Shore DrRhinelander, WI 54501-8360 · Phone (715) 361-4700

Other Identifiers 1

Medicaid33338600WI

Accepted Insurance

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

Shishir N Sheth 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 ID4082631403
PECOS Enrollment IDI20051025000939
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.

Areas of Expertise CMS Part B claims 8

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.

Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
250 services162 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.
173 services122 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
130 services130 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
63 services49 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
63 services49 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
22 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Aurora Medical Center

Acute Care Hospitals · Grafton, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520207
Location975 Port Washington RoadGrafton, WI 53024 · Ozaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53209 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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.

Pharmacist
3003 W GOOD HOPE RD
MILWAUKEE, WI 53209
Nurse Practitioner
3003 W GOOD HOPE RD
MILWAUKEE, WI 53209
Nurse Practitioner
3003 W GOOD HOPE RD
MILWAUKEE, WI 53209
Family Medicine
3003 W GOOD HOPE RD
MILWAUKEE, WI 53209
Physician Assistant
3003 W GOOD HOPE RD
MILWAUKEE, WI 53209
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3003 W GOOD HOPE RD
MILWAUKEE, WI 53209
Nurse Practitioner
3003 W GOOD HOPE RD
MILWAUKEE, WI 53209
Family Medicine
3003 W GOOD HOPE RD
MILWAUKEE, WI 53209

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 Shishir Sheth's NPI number?

The NPI number for Shishir Sheth is 1144268012. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Shishir Sheth located?

Shishir Sheth practices at 3003 W Good Hope Rd, Milwaukee, WI 53209. The listed phone number is (414) 352-3100.

What is Shishir Sheth's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Shishir Sheth enrolled in Medicare?

Yes. Shishir Sheth 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.

What insurance does Shishir Sheth accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners, Quartz and UnitedHealthcare list Shishir Sheth 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.

Is Shishir Sheth affiliated with any hospitals?

According to CMS data, Shishir Sheth is affiliated with Aurora St Lukes Medical Center and Aurora Medical Center.

When was this NPI record last updated?

The NPPES record for Shishir Sheth was last updated on August 7, 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.