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DR. KEROLOS SHENOUDA MD
NPI 1598129579
Otolaryngology in Toledo, OH

Active since April 06, 2016PECOS Enrolled
7.5/100
CMS Quality Rating
2213 CHERRY ST, TOLEDO, OH 43608(419) 251-1020 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 6, 2026, Jun 4, 2026, Aug 11, 2021 (3 updates tracked since 2021).

About Dr. Kerolos Shenouda Md NPPES

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

DR. KEROLOS SHENOUDA MD (NPI 1598129579) is an individual otolaryngology provider in Toledo, Ohio, licensed in Ohio (35C.003984) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with St Joe Mercy Hospital System Livonia, and maintains a secondary practice location in Clinton Township.

NPPES Registry Identity

NPI1598129579
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. KEROLOS SHENOUDACredential: MD
Location Address2213 CHERRY STToledo, OH 43608-2603
Mailing Address3334 Rochester Rd # 714Troy, MI 48083-5426
Phone(419) 251-1020
Sole ProprietorNo
Medical School CMSOakland Univ, William Beaumont School Of MedicineGraduated 2016
Enumeration DateApril 6, 2016
Last NPPES UpdateAugust 6, 20263 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
✔ NPI 1598129579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in OH · 35C.003984✔ Licensed in MI · 4301504615
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
2213 CHERRY ST, Toledo, OH 43608
Open in Google Maps ↗

Secondary Practice Location 1

Location 115930 19 Mile Rd Ste 140Clinton Township, MI 48038-1155 · Phone (586) 280-1000

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kerolos Shenouda Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618379298
PECOS Enrollment IDI20260618002189, I20260724003642
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kerolos Shenouda reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Health Physicians North Specialty Care LLC
0.9 mi
Surgery
2200 JEFFERSON AVE
Toledo, OH 43604
  • Reassigned Medicare billing, Ohio enrollment
  • 690 clinicians in this Medicare group
NPI 1306468418 (888) 696-3541
Halifax Healthcare Systems Inc
871 mi
Family Medicine
303 N CLYDE MORRIS BLVD
Daytona Beach, FL 32114
  • Reassigned Medicare billing, Florida enrollment
  • 786 clinicians in this Medicare group
NPI 1245283530 (386) 254-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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 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.
142 services106 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.
87 services87 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
78 services72 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
68 services65 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.
65 services65 patients
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.
59 services55 patients

Hospital Affiliations CMS Care Compare 5

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

St Joe Mercy Hospital System Livonia

Acute Care Hospitals · Livonia, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230002
Location36475 Five Mile RoadLivonia, MI 48154 · Wayne County
Emergency services Birthing friendly

Ascension Providence Hospital, Southfield And Novi

Acute Care Hospitals · Southfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230019
Location16001 W Nine Mile RdSouthfield, MI 48075 · Oakland County
Emergency services Birthing friendly

Ascension Macomb Oakland Hosp-Warren Campus

Acute Care Hospitals · Warren, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230195
Location11800 East Twelve Mile RoadWarren, MI 48093 · Macomb County
Emergency services

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360112
Location2213 Cherry StreetToledo, OH 43608 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43608 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

7.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality15
Improvement Activities0

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.

JENNIFER DAWN TROST NNP
Nurse Practitioner (Neonatal)
2213 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 251-4360
ROCIO CROSBY CNP
Nurse Practitioner (Family)
2213 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 251-2878
JACOBY JACOBSEN D.O.
Orthopaedic Surgery
2213 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 251-6596
DR. NIZHONI W DENIPAH M.D.
Otolaryngology
2213 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 251-1020
JANILLE ANN BLAYLOCK APRN, NP-C
Nurse Practitioner (Family)
2213 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 696-5555
NEW CENTURY MEDICAL OBSERVATION SERVICES OF LUCAS COUNTY, INC
Emergency Medicine
2213 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 251-3232
DR. ANTHONY JOSEPH DOLNEY MD
Emergency Medicine
2213 CHERRY ST, ACC TRAUMA CLINIC
TOLEDO, OH 43608
Lucas County (419) 251-4724
GREGORY HALSTEAD CRNA
Nurse Anesthetist, Certified Registered
2213 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 251-4524

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 Kerolos Shenouda's NPI number?

The NPI number for Kerolos Shenouda is 1598129579. It was assigned to this individual provider in the NPPES registry on April 6, 2016.

Where is Kerolos Shenouda located?

Kerolos Shenouda practices at 2213 Cherry St, Toledo, OH 43608. The listed phone number is (419) 251-1020.

What is Kerolos Shenouda's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Kerolos Shenouda enrolled in Medicare?

Yes. Kerolos Shenouda is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kerolos Shenouda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kerolos Shenouda reassigns Medicare benefits to 2 organizations: Mercy Health Physicians North Specialty Care LLC (Toledo, OH) and Halifax Healthcare Systems Inc (Daytona Beach, FL). Each 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 Kerolos Shenouda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kerolos Shenouda accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Kerolos Shenouda 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 Kerolos Shenouda affiliated with any hospitals?

According to CMS data, Kerolos Shenouda is affiliated with St Joe Mercy Hospital System Livonia, Ascension Providence Hospital, Southfield And Novi, Ascension Macomb Oakland Hosp-Warren Campus, Beaumont Hospital, Troy and Mercy St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for Kerolos Shenouda was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.