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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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: August 23, 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
Phone(617) 726-3030
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
55 FRUIT ST, Boston, MA 02114
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

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

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.

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.

STUTI GIRISH SHROFF MD, MBBS
Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2971
NANCY WANG M.D.
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (017) 724-4000
DR. DUSAN HANIDZIAR M.D., PH.D.
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Suffolk County (617) 726-3030
JOHN JOSEPH DANKO DO
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2000
DR. MICHAEL ANDREW LOBRITZ M.D, PH.D.
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Suffolk County (617) 724-9248
MS. KELLY ELISHA TRECARTIN NP
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Suffolk County (617) 726-7400
JAMIE MARIE ALLEN NP
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 724-4410
DR. DHAVAL SANJEEV KOLTE M.B.B.S., PH.D.
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 643-3238

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.

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 16 days 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.