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REENE SHALLAL FNP
NPI 1356053904
Nurse Practitioner - Family in Bloomfield Hills, MI

Active since December 14, 2022PECOS EnrolledAccepts Medicare Assignment
1961 S TELEGRAPH RD, BLOOMFIELD HILLS, MI 48302(248) 319-6190(248) 607-6362 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2025, Dec 14, 2022 (2 updates tracked since 2022).

About Reene Shallal Fnp NPPES

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

REENE SHALLAL FNP (NPI 1356053904) is an individual family provider in Bloomfield Hills, Michigan, licensed in Michigan (4704259539) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and maintains a secondary practice location in Walled Lake.

NPPES Registry Identity

NPI1356053904
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameREENE SHALLALCredential: FNP
Location Address1961 S TELEGRAPH RDBloomfield Hills, MI 48302-0246
Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (313) 874-4806
Phone(248) 319-6190
Fax(248) 607-6362
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 14, 2022
Last NPPES UpdateJune 5, 20252 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
✔ NPI 1356053904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704259539
1961 S TELEGRAPH RD, Bloomfield Hills, MI 48302
Open in Google Maps ↗

Secondary Practice Location 1

Location 1100 W West Maple RdWalled Lake, MI 48390-3402 · Phone (248) 624-4555

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Reene Shallal Fnp 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 ID7214307362
PECOS Enrollment IDI20230105002070
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 5

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 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.
32 services29 patients
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.
31 services28 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
30 services30 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
21 services21 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Henry Ford Health West Bloomfield Hospital

Acute Care Hospitals · West Bloomfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230302
Location6777 West Maple RoadWest Bloomfield, MI 48322 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48302 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 11

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

NIRA MCCOLLUM LMT
Massage Therapist
1961 S TELEGRAPH RD
BLOOMFIELD HILLS, MI 48302
Oakland County (833) 246-4347
HENRY FORD HEALTH SYSTEM
Pharmacy (Community/Retail Pharmacy)
1961 S TELEGRAPH RD
BLOOMFIELD TWP, MI 48302
Oakland County (248) 319-6160
ALANAH BRATLEY PHARMD
Pharmacist (Ambulatory Care)
1961 S TELEGRAPH RD
BLOOMFIELD HILLS, MI 48302
Oakland County (248) 319-6210
DR. MARVIN KHALID KASMIKHA DO
Family Medicine
1961 S TELEGRAPH RD
BLOOMFIELD HILLS, MI 48302
Oakland County (248) 319-6190
DR. POORVI P SHAH D.O.
Family Medicine
1961 S TELEGRAPH RD
BLOOMFIELD HILLS, MI 48302
Oakland County (248) 319-6190
DR. KIMBERLY H THOMPSON MD
Family Medicine
1961 S TELEGRAPH RD
BLOOMFIELD TOWNSHIP, MI 48302
Oakland County (248) 319-6120
PAUL ALEXANDER PT
Physical Therapist
1961 S TELEGRAPH RD
BLOOMFIELD TOWNSHIP, MI 48302
Oakland County (248) 319-6180
NEHA M GUMMADI BS
Physical Therapist
1961 S TELEGRAPH RD
BLOOMFIELD TOWNSHIP, MI 48302
Oakland County (248) 319-6210

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 Reene Shallal's NPI number?

The NPI number for Reene Shallal is 1356053904. It was assigned to this individual provider in the NPPES registry on December 14, 2022.

Where is Reene Shallal located?

Reene Shallal practices at 1961 S Telegraph Rd, Bloomfield Hills, MI 48302. The listed phone number is (248) 319-6190.

What is Reene Shallal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Reene Shallal enrolled in Medicare?

Yes. Reene Shallal 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.

What insurance does Reene Shallal accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Reene Shallal 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 Reene Shallal affiliated with any hospitals?

According to CMS data, Reene Shallal is affiliated with Henry Ford Health Hospital and Henry Ford Health West Bloomfield Hospital.

When was this NPI record last updated?

The NPPES record for Reene Shallal was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.