MANISH ASHOK SHAHA (MD) – Plastic Surgery within the Head & Neck (Otolaryngology) Physician, NPI 1629432463
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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Profile Insights
NPPES metrics only — not quality of care.
182 OTOLARYNGOLOGY in AL
Provider Addresses for MANISH ASHOK SHAHA (MD)
PO BOX 917770
ORLANDO, FL 328910001
Phone: (813) 821-8038
Type: Mailing
PO BOX 55310
BIRMINGHAM, AL 352555310
Phone: (205) 731-9701
Type: Mailing
619 19TH ST S
BIRMINGHAM, AL 35249
Phone: (205) 934-4011
Type: Location
1425 S Main St
Walnut Creek, CA 945965318
Phone: (925) 295-4100
Type: Location
1501 Kings Hwy
Otolaryngology
Shreveport, LA 711034228
Phone: (318) 813-2690
Fax: (318) 813-2692
Type: Location
1501, Kings Highway, Werner Park, Shreveport, Caddo Parish, Louisiana, 71103, United States
OTOLARYNGOLOGY
SHREVEPORT, LA 711034228
Phone: (318) 813-2690
Fax: (318) 813-2692
Type: Mailing
1425 S MAIN ST
WALNUT CREEK, CA 945965318
Phone: (925) 295-4100
Type: Mailing
13330 USF LAUREL DR
TAMPA, FL 336126601
Phone: (813) 821-8038
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $63.
Total Amount is formed as General ($63) + Research ($0) + Ownership ($0) = $63.
Last reported payment date: 2023-02-19 • Largest payer in this snapshot: Olympus America Inc. ($63).
Total Amount
$63
General + Research + Ownership
Payments
1
Total payment records
General Amount
$63
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Olympus America Inc. | $63 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-11-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210702002356 | I | Otolaryngology | AL | TBD |
| I20221102002849 | I | Otolaryngology | CA | TBD |
| I20251113003527 | I | Otolaryngology | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32891)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | FL | |
| - | FL | |
| Clinical Psychologist | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL |
Reviews
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