DEBRA A SHENOI MD
NPI 1265458327
Family Medicine in Madison, WI

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
1821 S STOUGHTON RD, MADISON, WI 53716(608) 260-6000(608) 260-6161 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 21, 2021, Apr 8, 2021, Feb 10, 2021 and 1 more (4 updates tracked since 2017).

About Debra A Shenoi Md NPPES

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

DEBRA A SHENOI MD (NPI 1265458327) is an individual family medicine provider in Madison, Wisconsin, licensed in Wisconsin (38883) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - Madison, and is a graduate of Mayo Medical School (1994).

NPPES Registry Identity

NPI1265458327
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDEBRA A SHENOICredential: MD
Location Address1821 S STOUGHTON RDMadison, WI 53716-2257
Mailing Address1821 S Stoughton RdMadison, WI 53716-2257 · (608) 260-6000 · Fax (608) 260-6161
Fax(608) 260-6161
Sole ProprietorNo
Medical School CMSMayo Medical SchoolGraduated 1994
Enumeration DateJuly 14, 2006
Last NPPES UpdateApril 21, 20214 updates tracked since enumeration
NPPES CertifiedApril 21, 2021
NPI 1265458327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 38883
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1821 S STOUGHTON RD, Madison, WI 53716

Other Identifiers 1

Medicaid32378100WI

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

Debra A Shenoi Md 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 ID2365639762
PECOS Enrollment IDI20101210000890
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 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.
193 services188 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
40 services39 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.
29 services29 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.
15 services15 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520083
Location700 South Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Janesville

Acute Care Hospitals · Janesville, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520208
Location3400 East Racine StreetJanesville, WI 53546 · Rock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53716 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
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.

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.

Social Worker (Clinical)
1821 S STOUGHTON RD, DEAN MEDICAL CENTER
MADISON, WI 53716
Social Worker (Clinical)
1821 S STOUGHTON RD, DEAN MEDICAL CENTER
MADISON, WI 53716
Social Worker (Clinical)
1821 S STOUGHTON RD, DEAN MEDICAL CENTER
MADISON, WI 53716
Physician Assistant (Medical)
1821 S STOUGHTON RD, DEAN MEDICAL CENTER
MADISON, WI 53716
Nurse Practitioner
1821 S STOUGHTON RD, DEAN MEDICAL CENTER
MADISON, WI 53716
Internal Medicine (Cardiovascular Disease)
1821 S STOUGHTON RD, DEAN MEDICAL CENTER
MADISON, WI 53716
Family Medicine
1821 S STOUGHTON RD, DEAN MEDICAL CENTER
MADISON, WI 53716
Family Medicine
1821 S STOUGHTON RD, DEAN MEDICAL CENTER
MADISON, WI 53716

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 Debra Shenoi's NPI number?

The NPI number for Debra Shenoi is 1265458327. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Debra Shenoi located?

Debra Shenoi practices at 1821 S Stoughton Rd, Madison, WI 53716. The listed phone number is (608) 260-6000.

What is Debra Shenoi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Debra Shenoi enrolled in Medicare?

Yes. Debra Shenoi 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 Debra Shenoi affiliated with any hospitals?

According to CMS data, Debra Shenoi is affiliated with Ssm Health St Mary's Hospital - Madison and Ssm Health St Mary's Hospital - Janesville.

When was this NPI record last updated?

The NPPES record for Debra Shenoi was last updated on April 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.