SHEENA PARESH SHAH MD
NPI 1356978233
Family Medicine in Saint Clair Shores, MI
About Sheena Paresh Shah Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHEENA PARESH SHAH MD (NPI 1356978233) is an individual family medicine provider in Saint Clair Shores, Michigan, licensed in Michigan (4301508964) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Grosse Pointe, and maintains a secondary practice location in Saint Clair Shores.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Sheena Paresh Shah 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Beaumont Hospital - Grosse Pointe
Acute Care Hospitals · Grosse Pointe, MIBeaumont Hospital Royal Oak
Acute Care Hospitals · Royal Oak, MIBeaumont Hospital, Troy
Acute Care Hospitals · Troy, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48081 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Sheena Shah's NPI number?
The NPI number for Sheena Shah is 1356978233. It was assigned to this individual provider in the NPPES registry on March 23, 2020.
Where is Sheena Shah located?
Sheena Shah practices at 25631 Little Mack Ave Ste 103, Saint Clair Shores, MI 48081. The listed phone number is (586) 443-2333.
What is Sheena Shah's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Sheena Shah enrolled in Medicare?
Yes. Sheena Shah 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 Sheena Shah accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Sheena Shah 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 Sheena Shah affiliated with any hospitals?
According to CMS data, Sheena Shah is affiliated with Beaumont Hospital - Grosse Pointe, Beaumont Hospital Royal Oak and Beaumont Hospital, Troy.
When was this NPI record last updated?
The NPPES record for Sheena Shah was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Sheena Paresh Shah, MD · NPI 1356978233
Family Medicine physician in Saint Clair Shores, Michigan. Individual provider, active in the CMS NPPES registry since March 23, 2020.
## Identity
- **NPI:** 1356978233 (Entity type: Individual)
- **Enumerated:** March 23, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 4301508964 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 25631 LITTLE MACK AVE STE 103, Saint Clair Shores, MI 48081-2100
- **Phone:** (586) 443-2333 · **Fax:** (586) 443-2332
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Indiana University School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** September 18, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1356978233) · Data from the CMS NPPES public registry.