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JESIKA SHAH MD
NPI 1508076555
Pediatrics in Kenosha, WI

Active since May 22, 2007
6809 122ND AVE, KENOSHA, WI 53142(262) 654-8633(262) 654-5467 Get Directions Write a Review

NPPES record last updated: June 12, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2019, Apr 4, 2019 (2 updates tracked since 2019).

About Jesika Shah Md NPPES

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

JESIKA SHAH MD (NPI 1508076555) is an individual pediatrics provider in Kenosha, Wisconsin, licensed in Wisconsin (70515-20) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1508076555
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJESIKA SHAHCredential: MD
Location Address6809 122ND AVEKenosha, WI 53142-7335
Mailing Address9000 W Wisconsin Ave # Ms 958Milwaukee, WI 53226-4874 · (414) 266-7915 · Fax (414) 266-6238
Phone(262) 654-8633
Fax(262) 654-5467
Sole ProprietorNo
Enumeration DateMay 22, 2007
Last NPPES UpdateJune 12, 20192 updates tracked since enumeration
✔ NPI 1508076555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WI · 70515-20
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
6809 122ND AVE, Kenosha, WI 53142
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Other Identifiers 1

Medicaid1508076555WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

ANN MARIE SUNDARESON M.D.
Pediatrics
6809 122ND AVE
KENOSHA, WI 53142
Kenosha County (262) 654-8633
THERESA CAFARO MD
Pediatrics
6809 122ND AVE
KENOSHA, WI 53142
Kenosha County (262) 891-6600
ALEXANDRA PATRICE COVERT LPC
Counselor (Mental Health)
6809 122ND AVE
KENOSHA, WI 53142
Kenosha County (414) 607-5280
GREGORY W YOUNG M.D.
Pediatrics
6809 122ND AVE
KENOSHA, WI 53142
Kenosha County (262) 654-8633
CHILDREN'S MEDICAL GROUP, INC.
Social Worker (Clinical)
6809 122ND AVE
KENOSHA, WI 53142
Kenosha County (262) 891-6575
SARAH ANITA MELTON
Social Worker (Clinical)
6809 122ND AVE
KENOSHA, WI 53142
Kenosha County (262) 891-6575
MRS. ANNE ELIZABETH HYSAW LCSW
Social Worker (Clinical)
6809 122ND AVE
KENOSHA, WI 53142
Kenosha County (262) 652-5522
ARIAH ZWOLINSKI-COYLE LPC, CRC
Counselor
6809 122ND AVE
KENOSHA, WI 53142
Kenosha County (262) 652-5522

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 Jesika Shah's NPI number?

The NPI number for Jesika Shah is 1508076555. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Jesika Shah located?

Jesika Shah practices at 6809 122nd Ave, Kenosha, WI 53142. The listed phone number is (262) 654-8633.

What is Jesika Shah's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Jesika Shah accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 1 other insurer list Jesika 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.

When was this NPI record last updated?

The NPPES record for Jesika Shah was last updated on June 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.