ALIVIA SHALLAL
NPI 1851246615
Physician Assistant in Detroit, MI

Q: What is Alivia Shallal's NPI number?

The NPI number for Alivia Shallal is 1851246615. It was assigned to this individual provider in the NPPES registry on February 26, 2026.

Q: What is Alivia Shallal's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Alivia Shallal was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 February 26, 2026PECOS Enrolled

259 MACK AVE, DETROIT, MI 48201(313) 577-1368 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Alivia Shallal NPPES

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

ALIVIA SHALLAL (NPI 1851246615) is an individual physician assistant in Detroit, Michigan and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851246615

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameALIVIA SHALLAL

Location Address259 MACK AVEDetroit, MI 48201-2427

Mailing Address259 Mack AveDetroit, MI 48201-2427

Phone(313) 577-1368

Sole ProprietorNo

Enumeration DateFebruary 26, 2026

Last NPPES UpdateMay 28, 2026

NPPES CertifiedMay 28, 2026

✔ NPI 1851246615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

259 MACK AVE, Detroit, MI 48201

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alivia Shallal 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 48201 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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 20

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

ANNABEL SHAMMAMI

Physician Assistant