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DALIA SHIBEIKA M.D
NPI 1831486711
Internal Medicine in Milwaukee, WI

Active since June 29, 2011PECOS EnrolledAccepts Medicare Assignment
77.32/100
CMS Quality Rating
2323 N LAKE DR, MILWAUKEE, WI 53211(414) 270-4932(414) 291-5195 Get Directions Write a Review

NPPES record last updated: January 18, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dalia Shibeika M.d NPPES

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

DALIA SHIBEIKA M.D (NPI 1831486711) is an individual internal medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (64969) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Southwest General Health Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1831486711
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDALIA SHIBEIKACredential: M.D
Location Address2323 N LAKE DRMilwaukee, WI 53211-4508
Mailing Address4425 N Port Washington RdGlendale, WI 53212-1082 · (414) 326-2218
Phone(414) 270-4932
Fax(414) 291-5195
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 29, 2011
Last NPPES UpdateJanuary 18, 2016
✔ NPI 1831486711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WI · 64969
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4301098496
2323 N LAKE DR, Milwaukee, WI 53211
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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

Dalia Shibeika M.d 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 ID3577877596
PECOS Enrollment IDI20170421001303
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
341 services138 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
110 services107 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
95 services92 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
46 services21 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
37 services37 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
32 services32 patients

Hospital Affiliations CMS Care Compare

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

Southwest General Health Center

Acute Care Hospitals · Middleburg Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360155
Location18697 Bagley RoadMiddleburg Heights, OH 44130 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53211 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

77.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.91
Promoting Interoperability100
Improvement Activities40
Cost63.49

Referred Medical Equipment & Supplies CMS DME claims 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers33 claims33 services$64.30 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers33 claims33 services$29.67 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 20

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

NATALIA RUMAS MD
Emergency Medicine
2323 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 290-6720
GRETCHEN JANET WADEWITZ PT
Physical Therapist
2323 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 291-1066
RAVEN JULIUS SANDIFER JR. PHARMD
Pharmacist
2323 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 291-1068
DR. SYDNEY S BISHOP PHARMD
Pharmacist (Critical Care)
2323 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 585-1068
DR. RICHARD C. LENNERTZ JR. M.D.
Pain Medicine (Interventional Pain Medicine)
2323 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 291-1000
MRS. SUSAN K. VANDERTIE RD CDE
Dietitian, Registered
2323 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 291-1143
BIANA KOTLYAR M.D.
Psychiatry & Neurology (Psychiatry)
2323 N LAKE DR, 1ST FLOOR
MILWAUKEE, WI 53211
Milwaukee County (414) 291-1620
MS. ANN MARIE FISCHER OTR0
Occupational Therapist
2323 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 291-1066

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 Dalia Shibeika's NPI number?

The NPI number for Dalia Shibeika is 1831486711. It was assigned to this individual provider in the NPPES registry on June 29, 2011.

Where is Dalia Shibeika located?

Dalia Shibeika practices at 2323 N Lake Dr, Milwaukee, WI 53211. The listed phone number is (414) 270-4932.

What is Dalia Shibeika's specialty?

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

Is Dalia Shibeika enrolled in Medicare?

Yes. Dalia Shibeika 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.

What insurance does Dalia Shibeika accept?

Health plans from CareSource list Dalia Shibeika as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Dalia Shibeika affiliated with any hospitals?

According to CMS data, Dalia Shibeika is affiliated with Southwest General Health Center.

When was this NPI record last updated?

The NPPES record for Dalia Shibeika was last updated on January 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.