DR. FADI MICHEL SHAMSHAM (M.D.) – Interventional Cardiology Physician, NPI 1942203971

DR. FADI MICHEL SHAMSHAM (M.D.) is a healthcare provider. based in Mt. vernon, Illinois. specializing in INTERVENTIONAL CARDIOLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 036123701 (IL). The NPI Number for DR. FADI MICHEL SHAMSHAM (M.D.) is 1942203971

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. FADI MICHEL SHAMSHAM (M.D.)
NPI
1942203971
Phone
(618) 204-5462
Address
4115 S. WATER TOWER PLACE
Enumeration Date
23 May 2005
Last Update Date
19 April 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5572031601
Graduation Year
1993 (33 years ago)
PAC ID
2264489947
Group Practice PAC ID
1658272059
Professional Enrollment ID
I20090911000259
Address ID
IL628642402MO1XXXXWAYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:21State licenses:1Digital endpointsOther names

464 INTERVENTIONAL CARDIOLOGY in IL

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Provider Addresses for DR. FADI MICHEL SHAMSHAM (M.D.)

  • South Water Tower Place, Mount Vernon, Jefferson County, Illinois, 62864, United States

    P.O.BOX 1003

    MT. VERNON, IL 62864

    Phone: (618) 204-5462

    Fax: (618) 204-5472

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 96 Open Payments records for all available years, with a total value of $1,640.

Total Amount is formed as General ($1,640) + Research ($0) + Ownership ($0) = $1,640.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($347).

Total Amount

$1,640

General + Research + Ownership

Payments

96

Total payment records

General Amount

$1,640

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2009-09-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090911000259IInterventional CardiologyILTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2,1491,256$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only911644$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function792770$0
G2066Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec699109$0
J2785Injection, regadenoson, 0.1 mg608152$0
View full utilization report →

Insurance plans in this area (ZIP 62864)

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Provider's Procedures

DR. FADI MICHEL SHAMSHAM (M.D.) performs procedures in INTERVENTIONAL CARDIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL CARDIOLOGYIL78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies2525
INTERVENTIONAL CARDIOLOGYIL92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin7257
INTERVENTIONAL CARDIOLOGYIL93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report14590
INTERVENTIONAL CARDIOLOGYIL93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart153148

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658272059View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineIL
Pediatric Medicine, Sleep MedicineMO
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)MO
Internal Medicine, Hospitalist, Internal MedicineIL
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)MO
Hospitalist, Internal MedicineIL
Interventional Radiology, Diagnostic RadiologyOH
P S Y C H I A T R YIL
Internal MedicineIL

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Frequently asked questions

What is the registry number for DR. FADI MICHEL SHAMSHAM (M.D.)?
The registry entry for DR. FADI MICHEL SHAMSHAM (M.D.) shows NPI 1942203971.
Is DR. FADI MICHEL SHAMSHAM (M.D.)'s NPI status active today?
Active status means DR. FADI MICHEL SHAMSHAM (M.D.)'s NPI record is not deactivated in the public file.
How should patients interpret DR. FADI MICHEL SHAMSHAM (M.D.)'s specialty?
The extract shows Interventional Cardiology Physician for DR. FADI MICHEL SHAMSHAM (M.D.). Clinical services aligned with this taxonomy classification.
Is DR. FADI MICHEL SHAMSHAM (M.D.) tied to Mt. Vernon, Illinois?
If you are local to Mt. Vernon, Illinois, DR. FADI MICHEL SHAMSHAM (M.D.) may be relevant to your search.
Why is information missing for DR. FADI MICHEL SHAMSHAM (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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