JUVARIA SHAHABUDDIN M.D.
NPI 1801152673
Psychiatry & Neurology - Psychiatry in Kenosha, WI

Q: What is Juvaria Shahabuddin's NPI number?

The NPI number for Juvaria Shahabuddin is 1801152673. It was assigned to this individual provider in the NPPES registry on April 5, 2012.

Q: What is Juvaria Shahabuddin's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since April 05, 2012PECOS Enrolled

12225 71ST ST, KENOSHA, WI 53142(877) 666-7223(262) 948-4841 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2023, Nov 22, 2021, Mar 17, 2018 (3 updates tracked since 2018).

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About Juvaria Shahabuddin M.d. NPPES

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

JUVARIA SHAHABUDDIN M.D. (NPI 1801152673) is an individual psychiatry provider in Kenosha, Wisconsin, licensed in Wisconsin (67758) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Maywood.

NPPES Registry Identity

NPI1801152673

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameJUVARIA SHAHABUDDINCredential: M.D.

Location Address12225 71ST STKenosha, WI 53142-7320

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(877) 666-7223

Fax(262) 948-4841

Sole ProprietorNo

Enumeration DateApril 5, 2012

Last NPPES UpdateDecember 12, 20233 updates tracked since enumeration

NPPES CertifiedDecember 12, 2023

✔ NPI 1801152673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in WI · 67758

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

12225 71ST ST, Kenosha, WI 53142

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Secondary Practice Location 1

Location 12160 S 1st Ave, Fahey Building-Room 222Maywood, IL 60153-3328 · Phone (708) 216-3750 · Fax (708) 216-6840

Other Identifiers 1

Medicaid100071395WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Juvaria Shahabuddin M.d. 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 53142 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

$163.24 typical visit price

range $53.90 – $163.24

Typical copayment $40.81 (range $13.47 – $40.81)

Most-billed visit code 99205

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

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.

MR. ADAM M STOLL MSW, APSW

Social Worker (Clinical)