THOMAS SHADAYA
NPI 1265165120
Nurse Anesthetist, Certified Registered in Detroit, MI
About Thomas Shadaya NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THOMAS SHADAYA (NPI 1265165120) is an individual nurse anesthetist, certified registered in Detroit, Michigan, licensed in Michigan (4704272654) and active in the NPI registry since July 2022. He is affiliated with Ascension Providence Hospital, Southfield And Novi and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Thomas Shadaya 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.
Medicare Billing Reassignments
3Medicare enrollment records show Thomas Shadaya reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Detroit, MI 48236
- Reassigned Medicare billing, Michigan enrollment
- 132 clinicians in this Medicare group
Southfield, MI 48075
- Reassigned Medicare billing, Michigan enrollment
- 122 clinicians in this Medicare group
Irving, TX 75038
- Reassigned Medicare billing, Michigan enrollment
- 905 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension Providence Hospital, Southfield And Novi
Acute Care Hospitals · Southfield, MIAscension St John Hospital
Acute Care Hospitals · Detroit, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
DETROIT, MI 48201
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 Thomas Shadaya's NPI number?
The NPI number for Thomas Shadaya is 1265165120. It was assigned to this individual provider in the NPPES registry on July 7, 2022.
Where is Thomas Shadaya located?
Thomas Shadaya practices at 259 Mack Ave, Detroit, MI 48201. The listed phone number is (313) 577-1716.
What is Thomas Shadaya's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Thomas Shadaya enrolled in Medicare?
Yes. Thomas Shadaya 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.
Which organizations bill Medicare for Thomas Shadaya's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Shadaya reassigns Medicare benefits to 3 organizations: Henry Ford Health St. John Hospital (Detroit, MI), Henry Ford Health Providence Hospital (Southfield, MI) and Northstar Anesthesia Of Michigan III PLLC (Irving, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Shadaya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Thomas Shadaya affiliated with any hospitals?
According to CMS data, Thomas Shadaya is affiliated with Ascension Providence Hospital, Southfield And Novi and Ascension St John Hospital.
When was this NPI record last updated?
The NPPES record for Thomas Shadaya was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Thomas Shadaya · NPI 1265165120
Nurse Anesthetist, Certified Registered physician in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since July 7, 2022.
## Identity
- **NPI:** 1265165120 (Entity type: Individual)
- **Enumerated:** July 7, 2022
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 4704272654 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 259 MACK AVE, Detroit, MI 48201-2427
- **Phone:** (313) 577-1716
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Henry Ford Health St. John Hospital (NPI 1598896995, Detroit, MI); Henry Ford Health Providence Hospital (NPI 1851339196, Southfield, MI); Northstar Anesthesia Of Michigan III PLLC (NPI 1972126209, Irving, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** March 19, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1265165120) · Data from the CMS NPPES public registry.