SHADI M RESHEIDAT MD
NPI 1790895571
Family Medicine in Lafayette, IN

Q: What is Shadi Resheidat's NPI number?

The NPI number for Shadi Resheidat is 1790895571. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is Shadi Resheidat's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Shadi Resheidat was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment

96.68/100

CMS Quality Rating

3554 PROMENADE PKWY, SUITE F, LAFAYETTE, IN 47909(765) 471-9146(765) 477-0277 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 23, 2021, Jun 15, 2020 (2 updates tracked since 2020).

On this page

About Shadi M Resheidat Md NPPES

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

SHADI M RESHEIDAT MD (NPI 1790895571) is an individual family medicine provider in Lafayette, Indiana, licensed in Indiana (01058532A) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Franciscan Health Lafayette, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1790895571

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSHADI M RESHEIDATCredential: MD

Location Address3554 PROMENADE PKWY, SUITE FLafayette, IN 47909-8418

Mailing AddressPo Box 4699Lafayette, IN 47903-4699 · (765) 449-2732 · Fax (765) 449-1196

Phone(765) 471-9146

Fax(765) 477-0277

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateAugust 30, 2006

Last NPPES UpdateMarch 23, 20212 updates tracked since enumeration

NPPES CertifiedMarch 23, 2021

✔ NPI 1790895571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 01058532A

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3554 PROMENADE PKWY, Lafayette, IN 47909

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Other Identifiers 2

Other000000382394IN · Anthem Provider Number

Medicaid200522260IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shadi M Resheidat Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709813819

PECOS Enrollment IDI20050720000759

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.

Areas of Expertise CMS Part B claims 15

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.

211 services112 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.

173 services109 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

129 services129 patients

Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446

This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.

125 services125 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

118 services118 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

118 services118 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

52 services35 patients

Face-to-face behavioral counseling for obesity, 15 minutes G0447

This is a 15-minute consultation where a healthcare professional discusses your eating habits, physical activity, and goals to help manage your weight. The aim is to provide personalized strategies to promote a healthier lifestyle and combat obesity.

37 services37 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

32 services32 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

32 services32 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

16 services14 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.

15 services15 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

14 services13 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

14 services14 patients

Blood glucose (sugar) level 82947

A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Franciscan Health Lafayette

Acute Care Hospitals · Lafayette, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150109

Location1701 S Creasy LnLafayette, IN 47905 · Tippecanoe County

Emergency services Birthing friendly

Indiana University Health Arnett Hospital

Acute Care Hospitals · Lafayette, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150173

Location5165 Mccarty LnLafayette, IN 47905 · Tippecanoe County

Emergency services Birthing friendly

Indiana University Health White Memorial Hospital

Critical Access Hospitals · Monticello, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number151312

Location720 South Sixth StMonticello, IN 47960 · White County

Emergency services

Indiana University Health Frankfort Inc

Critical Access Hospitals · Frankfort, IN

OwnershipVoluntary non-profit - Private

CMS Certification Number151316

Location1300 S Jackson StFrankfort, IN 46041 · Clinton County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47909 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

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.

96.68/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

83.69

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

10 suppliers25 claims47 services$5.73 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers13 claims13 services$1.13 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

3 suppliers14 claims14 services$33.48 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

4 suppliers18 claims18 services$74.72 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

4 suppliers15 claims37 services$31.40 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

5 suppliers14 claims14 services$16.97 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

DR. DAGMARA VENTRESCA DDS

Dentist

3554 PROMENADE PKWY, SUITE D
LAFAYETTE, IN 47909

Tippecanoe County (765) 838-3550

JOHN P CUSACK MD

Family Medicine

3554 PROMENADE PKWY, SUITE F
LAFAYETTE, IN 47909

Tippecanoe County (765) 477-2200

DR. ROBERT CHARLES TURNER M.D.

Family Medicine (Adult Medicine)

3554 PROMENADE PKWY, SUITE H
LAFAYETTE, IN 47909

Tippecanoe County (765) 471-1100

UNITY HEALTHCARE, LLC

Family Medicine

3554 PROMENADE PKWY, SUITE F
LAFAYETTE, IN 47909

Tippecanoe County (765) 471-9146

PHOENIX PARAMEDIC SOLUTIONS, LLC

Clinic/Center (Rehabilitation, Substance Use Disorder)

3554 PROMENADE PKWY
LAFAYETTE, IN 47909

Tippecanoe County (765) 637-7161

UNITED MEDICAL SERVICES LLC

Clinical Medical Laboratory

3554 PROMENADE PKWY, SUITE H
LAFAYETTE, IN 47909

Tippecanoe County (765) 471-1100

JILL C PEASE PHYSICIAN ASSISTANT

Physician Assistant

3554 PROMENADE PKWY, SUITE H
LAFAYETTE, IN 47909

Tippecanoe County (765) 471-1100

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 Shadi Resheidat's NPI number?

The NPI number for Shadi Resheidat is 1790895571. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Shadi Resheidat located?

Shadi Resheidat practices at 3554 Promenade Pkwy Suite F, Lafayette, IN 47909. The listed phone number is (765) 471-9146.

What is Shadi Resheidat's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shadi Resheidat enrolled in Medicare?

Yes. Shadi Resheidat is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Shadi Resheidat affiliated with any hospitals?

According to CMS data, Shadi Resheidat is affiliated with Franciscan Health Lafayette, Indiana University Health Arnett Hospital, Indiana University Health White Memorial Hospital and Indiana University Health Frankfort Inc.

When was this NPI record last updated?

The NPPES record for Shadi Resheidat was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.