IBRAHIM ATANDA SHODE
NPI 1497561203
Nurse Anesthetist, Certified Registered in North Providence, RI
About Ibrahim Atanda Shode NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IBRAHIM ATANDA SHODE (NPI 1497561203) is an individual nurse anesthetist, certified registered in North Providence, Rhode Island, licensed in New Hampshire (113637-23) and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS, is affiliated with Southern Nh Medical Center, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted 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
Ibrahim Atanda Shode 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.
Medicare Billing Reassignment
Medicare enrollment records show Ibrahim Shode reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Patchogue, NY 11772
- Reassigned Medicare billing, New Hampshire enrollment
- 145 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Southern Nh Medical Center
Acute Care Hospitals · Nashua, NHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Ibrahim Shode's NPI number?
The NPI number for Ibrahim Shode is 1497561203. It was assigned to this individual provider in the NPPES registry on December 6, 2024.
Where is Ibrahim Shode located?
Ibrahim Shode practices at 57 Villa Ave, North Providence, RI 02904. The listed phone number is (401) 663-8893.
What is Ibrahim Shode's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Ibrahim Shode enrolled in Medicare?
Yes. Ibrahim Shode 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 organization bills Medicare for Ibrahim Shode's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ibrahim Shode reassigns Medicare benefits to Hospitalist Medicine Physicians Of New York - Patchogue PC (Patchogue, NY). The 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 Ibrahim Shode's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ibrahim Shode accept?
Health plans from WellSense Health Plan list Ibrahim Shode 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 Ibrahim Shode affiliated with any hospitals?
According to CMS data, Ibrahim Shode is affiliated with Southern Nh Medical Center.
When was this NPI record last updated?
The NPPES record for Ibrahim Shode was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Ibrahim Atanda Shode · NPI 1497561203
Nurse Anesthetist, Certified Registered physician in North Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since December 6, 2024.
## Identity
- **NPI:** 1497561203 (Entity type: Individual)
- **Enumerated:** December 6, 2024
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 113637-23 (New Hampshire)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 57 VILLA AVE, North Providence, RI 02904-4421
- **Phone:** (401) 663-8893
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** Hospitalist Medicine Physicians Of New York - Patchogue PC (NPI 1366920993, Patchogue, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** February 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1497561203) · Data from the CMS NPPES public registry.