DR. SHADI IDRIS MD.
NPI 1891919312
Internal Medicine - Clinical Cardiac Electrophysiology in Kalamazoo, MI

Active since April 13, 2007PECOS EnrolledAccepts Medicare Assignment
1722 SHAFFER ST STE 1, KALAMAZOO, MI 49048(269) 381-3963(269) 381-1403 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2026, Nov 22, 2024, Nov 28, 2022 and 4 more (7 updates tracked since 2017).

About Dr. Shadi Idris Md. NPPES

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

DR. SHADI IDRIS MD. (NPI 1891919312) is an individual clinical cardiac electrophysiology provider in Kalamazoo, Michigan, licensed in Michigan (4301085994) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Three Rivers Health, and maintains a secondary practice location in Tucson.

NPPES Registry Identity

NPI1891919312
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NameDR. SHADI IDRISCredential: MD.
Location Address1722 SHAFFER ST STE 1Kalamazoo, MI 49048-1633
Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380
Fax(269) 381-1403
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateApril 13, 2007
Last NPPES UpdateMay 8, 20267 updates tracked since enumeration
NPPES CertifiedMay 8, 2026
NPI 1891919312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
Licenses Licensed in MI · 4301085994 Licensed in AZ · 54455
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 54455 (AZ), 4301085994 (MI)
1722 SHAFFER ST STE 1, Kalamazoo, MI 49048

Secondary Practice Location 1

Location 16320 N La Cholla Blvd Ste 300Tucson, AZ 85741-3552 · Phone (520) 545-0953 · Fax (520) 545-0954

Accepted 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

Dr. Shadi Idris 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 ID5698849677
PECOS Enrollment IDI20080808000643
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 32

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.

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
314 services165 patients
Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days 93295
This procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.
191 services92 patients
Programming of dual lead pacemaker system 93280
Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
169 services120 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
146 services111 patients
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.
139 services100 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
117 services109 patients

Hospital Affiliations CMS Care Compare 5

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

Three Rivers Health

Acute Care Hospitals · Three Rivers, MI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number230015
Location701 S Health ParkwayThree Rivers, MI 49093 · St. Joseph County
Birthing friendly

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230017
Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County
Emergency services Birthing friendly

Bronson Battle Creek Hospital

Acute Care Hospitals · Battle Creek, MI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number230075
Location300 North AvenueBattle Creek, MI 49017 · Calhoun County
Emergency services Birthing friendly

Borgess Medical Center

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230117
Location1521 Gull RoadKalamazoo, MI 49048 · Kalamazoo County
Emergency services Birthing friendly

Oaklawn Hospital

Acute Care Hospitals · Marshall, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230217
Location200 N MadisonMarshall, MI 49068 · Calhoun County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49048 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 3

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

Internal Medicine (Interventional Cardiology)
1722 SHAFFER ST STE 1
KALAMAZOO, MI 49048
Physician Assistant
1722 SHAFFER ST STE 1
KALAMAZOO, MI 49048
Physician Assistant
1722 SHAFFER ST STE 1
KALAMAZOO, MI 49048

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 Idris's NPI number?

The NPI number for Shadi Idris is 1891919312. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Where is Shadi Idris located?

Shadi Idris practices at 1722 Shaffer St Ste 1, Kalamazoo, MI 49048. The listed phone number is (269) 381-3963.

What is Shadi Idris's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Shadi Idris enrolled in Medicare?

Yes. Shadi Idris 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 Shadi Idris accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Shadi Idris 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 Shadi Idris affiliated with any hospitals?

According to CMS data, Shadi Idris is affiliated with Three Rivers Health, Bronson Methodist Hospital, Bronson Battle Creek Hospital, Borgess Medical Center and Oaklawn Hospital.

When was this NPI record last updated?

The NPPES record for Shadi Idris was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.