ADRIENNE RUTH SHABAZ MD
NPI 1225971534
Student in an Organized Health Care Education/Training Program in St Louis Park, MN

Active since April 11, 2026PECOS Enrolled
6600 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426(952) 993-7700 Get Directions Write a Review

NPPES record last updated: April 11, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Adrienne Ruth Shabaz Md NPPES

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

ADRIENNE RUTH SHABAZ MD (NPI 1225971534) is an individual student in an organized health care education/training program in St Louis Park, Minnesota and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225971534
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameADRIENNE RUTH SHABAZCredential: MD
Location Address6600 EXCELSIOR BLVDSt Louis Park, MN 55426-4744
Mailing Address6600 Excelsior BlvdSt Louis Park, MN 55426-4744 · (952) 993-7700
Sole ProprietorNo
Enumeration DateApril 11, 2026
NPPES CertifiedApril 11, 2026
NPI 1225971534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

6600 EXCELSIOR BLVD, St Louis Park, MN 55426

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Adrienne Ruth Shabaz 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.

Psychiatry & Neurology (Psychiatry)
6600 EXCELSIOR BLVD, CREEKSIDE BLDG SUITE 121
ST LOUIS PARK, MN 55426
Family Medicine
6600 EXCELSIOR BLVD, SUITE 100
ST LOUIS PARK, MN 55426
Family Medicine
6600 EXCELSIOR BLVD, SUITE 160
ST LOUIS PARK, MN 55426
Social Worker (Clinical)
6600 EXCELSIOR BLVD, STE 160
ST LOUIS PARK, MN 55426
Family Medicine
6600 EXCELSIOR BLVD, STE 160
ST LOUIS PARK, MN 55426
Pediatrics
6600 EXCELSIOR BLVD, 131
ST LOUIS PARK, MN 55426
Dentist (Periodontics)
6600 EXCELSIOR BLVD, 180
ST LOUIS PARK, MN 55426
Internal Medicine
6600 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

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 Adrienne Shabaz's NPI number?

The NPI number for Adrienne Shabaz is 1225971534. It was assigned to this individual provider in the NPPES registry on April 11, 2026.

Where is Adrienne Shabaz located?

Adrienne Shabaz practices at 6600 Excelsior Blvd, St Louis Park, MN 55426. The listed phone number is (952) 993-7700.

What is Adrienne Shabaz's specialty?

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

Is Adrienne Shabaz enrolled in Medicare?

Yes. Adrienne Shabaz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Adrienne Shabaz was last updated on April 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.