DR. BILAL SHAIKH M.D
NPI 1174975601
Internal Medicine - Endocrinology, Diabetes & Metabolism in Marinette, WI

Active since July 08, 2016PECOS EnrolledAccepts Medicare Assignment
4061 OLD PESHTIGO RD, MARINETTE, WI 54143(715) 732-8000 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2024, Nov 22, 2021, Jul 21, 2021 and 2 more (5 updates tracked since 2019).

About Dr. Bilal Shaikh M.d NPPES

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

DR. BILAL SHAIKH M.D (NPI 1174975601) is an individual endocrinology, diabetes & metabolism provider in Marinette, Wisconsin, licensed in Wisconsin (74344-20) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Osf St Francis Hospital And Medical Group, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1174975601
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. BILAL SHAIKHCredential: M.D
Location Address4061 OLD PESHTIGO RDMarinette, WI 54143-3887
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 8, 2016
Last NPPES UpdateMay 14, 20245 updates tracked since enumeration
NPPES CertifiedMay 14, 2024
NPI 1174975601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses Licensed in WI · 74344-20 Licensed in IL · 036.148853
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
4061 OLD PESHTIGO RD, Marinette, WI 54143

Other Identifiers 1

Medicaid100165787WI

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

Dr. Bilal Shaikh M.d 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 ID7315272556
PECOS Enrollment IDI20210621001299
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.

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.
258 services150 patients
Diabetes outpatient self-management training services, individual, per 30 minutes G0108
This service involves personalized training sessions, each lasting 30 minutes, to help manage diabetes. It includes guidance on monitoring blood sugar, healthy eating, physical activity, medication usage, and dealing with daily challenges of living with diabetes.
159 services54 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
82 services43 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.
61 services61 patients
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.
56 services37 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
29 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Osf St Francis Hospital And Medical Group

Critical Access Hospitals · Escanaba, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number231337
Location3401 Ludington StEscanaba, MI 49829 · Delta County
Emergency services Birthing friendly

Bay Area Medical Center

Acute Care Hospitals · Marinette, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520113
Location3003 University DrMarinette, WI 54143 · Marinette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54143 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
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers19 claims73 services$6.46 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers19 claims34 services$1.10 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers49 claims49 services$183.88 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.

Family Medicine
4061 OLD PESHTIGO RD
MARINETTE, WI 54143
Internal Medicine
4061 OLD PESHTIGO RD
MARINETTE, WI 54143
Social Worker (Clinical)
4061 OLD PESHTIGO RD
MARINETTE, WI 54143
Clinic/Center (Ambulatory Surgical)
4061 OLD PESHTIGO RD
MARINETTE, WI 54143
Radiology (Diagnostic Radiology)
4061 OLD PESHTIGO RD
MARINETTE, WI 54143
Physical Therapist
4061 OLD PESHTIGO RD
MARINETTE, WI 54143
Family Medicine
4061 OLD PESHTIGO RD
MARINETTE, WI 54143
Social Worker (Clinical)
4061 OLD PESHTIGO RD
MARINETTE, WI 54143

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 Bilal Shaikh's NPI number?

The NPI number for Bilal Shaikh is 1174975601. It was assigned to this individual provider in the NPPES registry on July 8, 2016.

Where is Bilal Shaikh located?

Bilal Shaikh practices at 4061 Old Peshtigo Rd, Marinette, WI 54143. The listed phone number is (715) 732-8000.

What is Bilal Shaikh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Bilal Shaikh enrolled in Medicare?

Yes. Bilal Shaikh 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 Bilal Shaikh accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz list Bilal Shaikh 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 Bilal Shaikh affiliated with any hospitals?

According to CMS data, Bilal Shaikh is affiliated with Osf St Francis Hospital And Medical Group and Bay Area Medical Center.

When was this NPI record last updated?

The NPPES record for Bilal Shaikh was last updated on May 14, 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.