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: July 19, 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
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

Secondary Practice Locations 2

Location 12800 Plymouth Rd # 35-1411Ann Arbor, MI 48109-2800 · Phone (734) 764-3270
Location 21500 E Medical Center DrAnn Arbor, MI 48109-5000 · Phone (734) 936-4000

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

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 IDI20240827003989, I20260219001549
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

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.

Pathology (Anatomic Pathology & Clinical Pathology)
4142 S MINGO RD
TULSA, OK 74146
Pathology (Anatomic Pathology & Clinical Pathology)
4142 S MINGO RD
TULSA, OK 74146
Pathology (Anatomic Pathology & Clinical Pathology)
4142 S MINGO RD
TULSA, OK 74146
Pathology (Anatomic Pathology & Clinical Pathology)
4142 S MINGO RD
TULSA, OK 74146
Pathology (Anatomic Pathology & Clinical Pathology)
4142 S MINGO RD
TULSA, OK 74146
Clinical Medical Laboratory
4142 S MINGO RD
TULSA, OK 74146
Pathology (Anatomic Pathology & Clinical Pathology)
4142 S MINGO RD
TULSA, OK 74146
Pathology (Anatomic Pathology & Clinical Pathology)
4142 S MINGO RD
TULSA, OK 74146

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275158628, enumerated as an "individual" on June 11, 2020.

The provider is located at 4142 S MINGO RD TULSA, OK 74146 and the phone number is (918) 417-6400.

Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.

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.