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FYSAL SHENNIB MD
NPI 1275158628
Pathology - Anatomic Pathology & Clinical Pathology in Tulsa, OK

Active since June 11, 2020PECOS EnrolledAccepts Medicare Assignment
4142 S MINGO RD, TULSA, OK 74146(918) 417-6400 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 3, 2025, Aug 19, 2024, Jun 11, 2020 (3 updates tracked since 2020).

About Fysal Shennib Md NPPES

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

FYSAL SHENNIB MD (NPI 1275158628) is an individual anatomic pathology & clinical pathology provider in Tulsa, Oklahoma, licensed in Michigan (4301511023) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Hillcrest Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1275158628
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameFYSAL SHENNIBCredential: MD
Location Address4142 S MINGO RDTulsa, OK 74146-3632
Mailing Address4142 S Mingo RdTulsa, OK 74146-3632 · (918) 417-6400
Phone(918) 417-6400
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2020
Enumeration DateJune 11, 2020
Last NPPES UpdateDecember 3, 20253 updates tracked since enumeration
NPPES CertifiedDecember 3, 2025
✔ NPI 1275158628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in MI · 4301511023
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4351046806 (MI)
4142 S MINGO RD, Tulsa, OK 74146
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11500 E Medical Center DrAnn Arbor, MI 48109-5000 · Phone (734) 936-4000
Location 22800 Plymouth Rd # 35-1411Ann Arbor, MI 48109-2800 · Phone (734) 764-3270

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare.Insurance ›

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

Fysal Shennib 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 ID9032658646
PECOS Enrollment IDI20260219001549
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Fysal Shennib reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pathology Laboratory Associates, Inc.
Same address
Anatomic Pathology & Clinical Pathology
4142 S MINGO RD
Tulsa, OK 74146
  • Reassigned Medicare billing, Oklahoma enrollment
  • 25 clinicians in this Medicare group
NPI 1750314076 (918) 744-2553
Creek Nation Hospital & Clinics
36 mi
Clinic/Center
2900 N MAIN ST
Muskogee, OK 74401
  • Reassigned Medicare billing, Texas enrollment
  • 655 clinicians in this Medicare group
NPI 1922873611 (918) 346-7833
Regents Of The University Of Michigan
778 mi
Anatomic Pathology & Clinical Pathology
1500 E MEDICAL CENTER DR
Ann Arbor, MI 48109
  • Reassigned Medicare billing, Michigan enrollment
  • 133 clinicians in this Medicare group
NPI 1508890468 (734) 936-4000

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.

Pathology examination of specimen during surgery, first tissue block 88331
A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.
17 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Hillcrest Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipProprietary
CMS Certification Number370001
Location1120 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

Ascension St John Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370114
Location1923 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

Oklahoma Surgical Hospital, LLC

Acute Care Hospitals · Tulsa, OK
5/5 CMS rating
OwnershipPhysician
CMS Certification Number370210
Location2408 East 81st Street, Suite 300Tulsa, OK 74137 · Tulsa County
Emergency services

St John Owasso

Acute Care Hospitals · Owasso, OK
OwnershipVoluntary non-profit - Private
CMS Certification Number370227
Location12451 East 100th Street NorthOwasso, OK 74055 · Tulsa County
Emergency services Birthing friendly

Ascension St John Broken Arrow

Acute Care Hospitals · Broken Arrow, OK
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370235
Location1000 West Boise CircleBroken Arrow, OK 74012 · Tulsa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74146 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SARAH G MCGINN MD
Pathology (Anatomic Pathology & Clinical Pathology)
4142 S MINGO RD
TULSA, OK 74146
Tulsa County (918) 744-2553
DR. ERICA SYKLAWER KUMAR MD
Pathology (Anatomic Pathology & Clinical Pathology)
4142 S MINGO RD
TULSA, OK 74146
Tulsa County (918) 744-2553
REGIONAL MEDICAL LABORATORY, INC
Clinical Medical Laboratory
4142 S MINGO RD
TULSA, OK 74146
Tulsa County (918) 744-2553
ADAM JOSEPH HOFFHINES M.D., PH.D.
Pathology (Anatomic Pathology & Clinical Pathology)
4142 S MINGO RD
TULSA, OK 74146
Tulsa County (918) 744-2553
DR. SEAN L SMITH MD
Pathology (Anatomic Pathology & Clinical Pathology)
4142 S MINGO RD
TULSA, OK 74146
Tulsa County (918) 744-2553
PATHOLOGY LABORATORY ASSOCIATES, INC.
Pathology (Anatomic Pathology & Clinical Pathology)
4142 S MINGO RD
TULSA, OK 74146
Tulsa County (918) 744-2553
DAVID YOONSUNG KIM
Pathology (Anatomic Pathology & Clinical Pathology)
4142 S MINGO RD
TULSA, OK 74146
Tulsa County (918) 744-2553
DR. JASON SHAWHAN STRATTON MD
Pathology (Anatomic Pathology & Clinical Pathology)
4142 S MINGO RD
TULSA, OK 74146
Tulsa County (918) 744-2553

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 Fysal Shennib's NPI number?

The NPI number for Fysal Shennib is 1275158628. It was assigned to this individual provider in the NPPES registry on June 11, 2020.

Where is Fysal Shennib located?

Fysal Shennib practices at 4142 S Mingo Rd, Tulsa, OK 74146. The listed phone number is (918) 417-6400.

What is Fysal Shennib's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Fysal Shennib enrolled in Medicare?

Yes. Fysal Shennib 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 Fysal Shennib's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fysal Shennib reassigns Medicare benefits to 3 organizations: Pathology Laboratory Associates, Inc. (Tulsa, OK), Creek Nation Hospital & Clinics (Muskogee, OK) and Regents Of The University Of Michigan (Ann Arbor, MI). 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 Fysal Shennib's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fysal Shennib accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and CommunityCare list Fysal Shennib 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 Fysal Shennib affiliated with any hospitals?

According to CMS data, Fysal Shennib is affiliated with Hillcrest Medical Center, Ascension St John Medical Center, Oklahoma Surgical Hospital, LLC, St John Owasso and Ascension St John Broken Arrow.

When was this NPI record last updated?

The NPPES record for Fysal Shennib was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.