1. Home
  2. Directory
  3. Arizona
  4. Phoenix
  5. Pediatrics
  6. NPI Profile

MICHAEL SHISHOV MD
NPI 1972552396
Pediatrics - Pediatric Rheumatology in Phoenix, AZ

Active since May 10, 2006PECOS EnrolledAccepts Medicare Assignment
1920 E CAMBRIDGE AVE, SUITE 200, PHOENIX, AZ 85016(602) 933-0909(602) 933-0911 Get Directions Write a Review

NPPES record last updated: November 22, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Shishov Md NPPES

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

MICHAEL SHISHOV MD (NPI 1972552396) is an individual pediatric rheumatology provider in Phoenix, Arizona, licensed in Arizona (35371) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1972552396
Entity TypeIndividualMale
Primary Taxonomy2080P0216X
Provider Legal NameMICHAEL SHISHOVCredential: MD
Location Address1920 E CAMBRIDGE AVE, SUITE 200Phoenix, AZ 85016-1459
Mailing Address1920 E Cambridge Ave, Suite 200Phoenix, AZ 85006-1459 · (602) 933-0909 · Fax (602) 933-0911
Phone(602) 933-0909
Fax(602) 933-0911
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMay 10, 2006
Last NPPES UpdateNovember 22, 2011
✔ NPI 1972552396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0216X
License✔ Licensed in AZ · 35371
Definition
A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
1920 E CAMBRIDGE AVE, Phoenix, AZ 85016
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 and accepts Medicare assignment

Michael Shishov 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 ID345251823
PECOS Enrollment IDI20061019000667
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.

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 Michael Shishov's NPI number?

The NPI number for Michael Shishov is 1972552396. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Michael Shishov located?

Michael Shishov practices at 1920 E Cambridge Ave Suite 200, Phoenix, AZ 85016. The listed phone number is (602) 933-0909.

What is Michael Shishov's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Rheumatology, with taxonomy code 2080P0216X.

Is Michael Shishov enrolled in Medicare?

Yes. Michael Shishov 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.

When was this NPI record last updated?

The NPPES record for Michael Shishov was last updated on November 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.