DR. VYSHAKH SHIBU MD
NPI 1912586264
Anesthesiology - Critical Care Medicine in Boston, MA

Active since April 05, 2021PECOS Enrolled

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 11, 2026, May 7, 2025, Apr 5, 2021 (3 updates tracked since 2021).

About Dr. Vyshakh Shibu Md NPPES

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

DR. VYSHAKH SHIBU MD (NPI 1912586264) is an individual critical care medicine provider in Boston, Massachusetts, licensed in Florida (182833) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1912586264
Entity TypeIndividualMale
Primary Taxonomy207LC0200X
Provider Legal NameDR. VYSHAKH SHIBUCredential: MD
Location Address55 FRUIT STBoston, MA 02114-2696
Mailing Address1 Tampa General CirTampa, FL 33606-3571 · (813) 844-4434 · Fax (813) 844-4972
Sole ProprietorYes
Enumeration DateApril 5, 2021
Last NPPES UpdateAugust 11, 20263 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
✔ NPI 1912586264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LC0200X
Licenses✔ Licensed in FL · 182833✔ Licensed in MA · 1022604
Definition
An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
55 FRUIT ST, Boston, MA 02114

Secondary Practice Locations 2

Location 11364 Clifton Rd NEAtlanta, GA 30322-1059 · Phone (800) 711-5444 · Fax (404) 778-5405
Location 21 Tampa General CirTampa, FL 33606-3571 · Phone (813) 844-4434 · Fax (813) 844-4972

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Vyshakh Shibu Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Vyshakh Shibu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
55 FRUIT ST, BULFINCH 360
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,234 clinicians in this Medicare group
Dermatology
55 FRUIT ST, BUL 2
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,360 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114

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 Vyshakh Shibu's NPI number?

The NPI number for Vyshakh Shibu is 1912586264. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Where is Vyshakh Shibu located?

Vyshakh Shibu practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 726-3030.

What is Vyshakh Shibu's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Critical Care Medicine, with taxonomy code 207LC0200X.

Is Vyshakh Shibu enrolled in Medicare?

Yes. Vyshakh Shibu is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Vyshakh Shibu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vyshakh Shibu reassigns Medicare benefits to 2 organizations: The General Hospital Corporation (Boston, MA) and Massachusetts General Physicians Organization Inc (Boston, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vyshakh Shibu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vyshakh Shibu accept?

Health plans from Taro Health list Vyshakh Shibu 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.

When was this NPI record last updated?

The NPPES record for Vyshakh Shibu was last updated on August 11, 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.