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

SHAHADA GHALEB SHALASH MD
NPI 1760479422
General Practice in Westfield, WI

Active since September 28, 2005PECOS Enrolled
113 E 2ND ST, WESTFIELD, WI 53964(608) 296-3207(608) 296-3207 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shahada Ghaleb Shalash Md NPPES

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

SHAHADA GHALEB SHALASH MD (NPI 1760479422) is an individual general practice provider in Westfield, Wisconsin, licensed in Wisconsin (33963) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760479422
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameSHAHADA GHALEB SHALASHCredential: MD
Location Address113 E 2ND STWestfield, WI 53964-9101
Mailing AddressPo Box 245Westfield, WI 53964-0245 · (608) 296-3207 · Fax (608) 296-3207
Fax(608) 296-3207
Sole ProprietorNo
Enumeration DateSeptember 28, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1760479422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in WI · 33963
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
113 E 2ND ST, Westfield, WI 53964

Other Identifiers 1

Medicaid31889100WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shahada Ghaleb Shalash 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.

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 Shahada Shalash's NPI number?

The NPI number for Shahada Shalash is 1760479422. It was assigned to this individual provider in the NPPES registry on September 28, 2005.

Where is Shahada Shalash located?

Shahada Shalash practices at 113 E 2nd St, Westfield, WI 53964. The listed phone number is (608) 296-3207.

What is Shahada Shalash's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Shahada Shalash enrolled in Medicare?

Yes. Shahada Shalash is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shahada Shalash was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 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.