THOMAS SHADAYA
NPI 1265165120
Nurse Anesthetist, Certified Registered in Detroit, MI

Active since July 07, 2022Accepts Medicare Assignment
86.01/100
CMS Quality Rating
259 MACK AVE, DETROIT, MI 48201(313) 577-1716 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 19, 2025, Apr 11, 2023, Jul 7, 2022 (3 updates tracked since 2022).

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

NPI1265165120
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameTHOMAS SHADAYA
Location Address259 MACK AVEDetroit, MI 48201-2427
Mailing Address259 Mack AveDetroit, MI 48201-2427
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 7, 2022
Last NPPES UpdateMarch 19, 20253 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
NPI 1265165120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in MI · 4704272654
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 4704272654 (MI)
259 MACK AVE, Detroit, MI 48201

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

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.

PECOS PAC ID840676128
PECOS Enrollment IDI20221011000815

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
14 services14 patients

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, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230019
Location16001 W Nine Mile RdSouthfield, MI 48075 · Oakland County
Emergency services Birthing friendly

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Physician 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.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

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.

86.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.29
Improvement Activities40

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.

Physician Assistant
259 MACK AVE
DETROIT, MI 48201
Nurse Anesthetist, Certified Registered
259 MACK AVE
DETROIT, MI 48201
Pharmacist
259 MACK AVE
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
259 MACK AVE
DETROIT, MI 48201
Registered Nurse
259 MACK AVE
DETROIT, MI 48201
Physician Assistant
259 MACK AVE
DETROIT, MI 48201
Nurse Anesthetist, Certified Registered
259 MACK AVE
DETROIT, MI 48201
Pharmacist (Pharmacotherapy)
259 MACK AVE, EACPHS SUITE 2190
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.

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 with the weekly NPPES data releases published by CMS.