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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SIDRA SHAYAN MD
NPI 1720767486
Internal Medicine in Kalamazoo, MI

Active since July 11, 2023PECOS Enrolled
524 S PARK ST, KALAMAZOO, MI 49007(269) 341-6056(269) 341-7781 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2026, Jul 20, 2023, Jul 11, 2023 (3 updates tracked since 2023).

About Sidra Shayan Md NPPES

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

SIDRA SHAYAN MD (NPI 1720767486) is an individual internal medicine provider in Kalamazoo, Michigan, licensed in Michigan (4301517646) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720767486
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSIDRA SHAYANCredential: MD
Location Address524 S PARK STKalamazoo, MI 49007-5118
Mailing Address524 S Park StKalamazoo, MI 49007-5118 · (269) 341-6056 · Fax (269) 341-7781
Phone(269) 341-6056
Fax(269) 341-7781
Sole ProprietorNo
Enumeration DateJuly 11, 2023
Last NPPES UpdateAugust 7, 20263 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1720767486 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 · 4301517646
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.
524 S PARK ST, Kalamazoo, MI 49007
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sidra Shayan Md 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 49007 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 12

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

ANDREW FORSYTH M.D.
Radiology (Vascular & Interventional Radiology)
524 S PARK ST
KALAMAZOO, MI 49007
Kalamazoo County (269) 341-6789
LAIBA RANGOONWALA
Physician Assistant
524 S PARK ST
KALAMAZOO, MI 49007
Kalamazoo County (269) 341-6056
EMILY INBODY
Physician Assistant
524 S PARK ST
KALAMAZOO, MI 49007
Kalamazoo County (269) 341-6056
LUKASZ NIEC MD
Internal Medicine
524 S PARK ST
KALAMAZOO, MI 49007
Kalamazoo County (269) 341-6056
ALLAN BWANCHINGA OMETE MD
Internal Medicine
524 S PARK ST
KALAMAZOO, MI 49007
Kalamazoo County (269) 341-6056
KENNETH RESHARD MASSEY PA-C
Physician Assistant
524 S PARK ST
KALAMAZOO, MI 49007
Kalamazoo County (269) 341-6056
ANDREEA GABRIELA MOORE MD
Radiology (Diagnostic Radiology)
524 S PARK ST
KALAMAZOO, MI 49007
Kalamazoo County (616) 363-7339
DR. KEITH GREGORY BOUFFARD DO
Internal Medicine
524 S PARK ST
KALAMAZOO, MI 49007
Kalamazoo County (269) 341-6056

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 Sidra Shayan's NPI number?

The NPI number for Sidra Shayan is 1720767486. It was assigned to this individual provider in the NPPES registry on July 11, 2023.

Where is Sidra Shayan located?

Sidra Shayan practices at 524 S Park St, Kalamazoo, MI 49007. The listed phone number is (269) 341-6056.

What is Sidra Shayan's specialty?

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

Is Sidra Shayan enrolled in Medicare?

Yes. Sidra Shayan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sidra Shayan was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.