DR. ABHISHEK SUSHIL SHASTRY DO
NPI 1689424921
Internal Medicine in Southfield, MI

Active since March 26, 2024PECOS Enrolled
22250 PROVIDENCE DR STE 301, SOUTHFIELD, MI 48075(248) 849-3281 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Abhishek Sushil Shastry Do NPPES

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

DR. ABHISHEK SUSHIL SHASTRY DO (NPI 1689424921) is an individual internal medicine provider in Southfield, Michigan, licensed in Michigan (5151016637) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689424921
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ABHISHEK SUSHIL SHASTRYCredential: DO
Location Address22250 PROVIDENCE DR STE 301Southfield, MI 48075-6211
Mailing Address22250 Providence Dr Ste 301Southfield, MI 48075-6211 · (248) 849-3281
Sole ProprietorNo
Enumeration DateMarch 26, 2024
Last NPPES UpdateApril 29, 2024
NPPES CertifiedApril 29, 2024
NPI 1689424921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MI · 5151016637
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
22250 PROVIDENCE DR STE 301, Southfield, MI 48075

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Abhishek Sushil Shastry Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48075 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
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 15

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

Internal Medicine
22250 PROVIDENCE DR STE 301
SOUTHFIELD, MI 48075
General Practice
22250 PROVIDENCE DR STE 301
SOUTHFIELD, MI 48075
Internal Medicine
22250 PROVIDENCE DR STE 301
SOUTHFIELD, MI 48075
Internal Medicine
22250 PROVIDENCE DR STE 301
SOUTHFIELD, MI 48075
Student in an Organized Health Care Education/Training Program
22250 PROVIDENCE DR STE 301
SOUTHFIELD, MI 48075
Student in an Organized Health Care Education/Training Program
22250 PROVIDENCE DR STE 301
SOUTHFIELD, MI 48075
Internal Medicine
22250 PROVIDENCE DR STE 301
SOUTHFIELD, MI 48075
Internal Medicine (Pulmonary Disease)
22250 PROVIDENCE DR STE 301
SOUTHFIELD, MI 48075

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 Abhishek Shastry's NPI number?

The NPI number for Abhishek Shastry is 1689424921. It was assigned to this individual provider in the NPPES registry on March 26, 2024.

Where is Abhishek Shastry located?

Abhishek Shastry practices at 22250 Providence Dr Ste 301, Southfield, MI 48075. The listed phone number is (248) 849-3281.

What is Abhishek Shastry's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Abhishek Shastry enrolled in Medicare?

Yes. Abhishek Shastry is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Abhishek Shastry was last updated on April 29, 2024. 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.