MICHAEL S SHUSTERMAN (MD) – Pediatrics Physician, NPI 1780680488

MICHAEL S SHUSTERMAN (MD) is a healthcare provider. based in Dedham, Massachusetts. specializing in PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 160164 (MA). The NPI Number for MICHAEL S SHUSTERMAN (MD) is 1780680488

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL S SHUSTERMAN (MD)
NPI
1780680488
Phone
(781) 329-1400
Address
PO BOX 9120
Enumeration Date
27 June 2005
Last Update Date
7 March 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Secondary Phone
6174211000
Graduation Year
1996 (30 years ago)
PAC ID
9739190299
Group Practice PAC ID
4789588641
Professional Enrollment ID
I20060511000337
Address ID
MA022153904BO133XXAVEX300

Contacts

Secure Messaging
mshustermanmd15566@direct.atrius.masshiway.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,245 PEDIATRIC MEDICINE in MA

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Provider Addresses for MICHAEL S SHUSTERMAN (MD)

  • PO BOX 9120

    DEDHAM, MA 020279120

    Phone: (781) 329-1400

    Fax: (781) 278-5667

    Type: Mailing

  • 1 LYONS ST

    DEDHAM, MA 020265599

    Phone: (781) 493-3620

    Fax: (781) 461-9210

    Type: Mailing

  • 1, Lyons Street, Dedham, Norfolk County, Massachusetts, 02027, United States

    DEDHAM, MA 020265599

    Phone: (781) 493-3620

    Fax: (781) 461-9210

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-05-11

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
I20060511000337IPediatric MedicineMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02027)

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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: 4789588641View full group profile
NameSpecialtyState
-MA
Family PracticeMA
D E R M A T O L O G YMA
Emergency MedicineMA
Internal Medicine, Cardiovascular Disease (Cardiology)MA
-MA
O B S T E T R I C S/ G Y N E C O L O G YMA
-MA
Internal MedicineMA
O T O L A R Y N G O L O G YMA

Reviews

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Frequently asked questions

What is the 10-digit NPI for MICHAEL S SHUSTERMAN (MD)?
MICHAEL S SHUSTERMAN (MD) — NPI 1780680488 — is the standard way to identify this listing.
Does CMS list MICHAEL S SHUSTERMAN (MD) as active?
Yes — MICHAEL S SHUSTERMAN (MD) is active in the NPI listing used on this page.
What is MICHAEL S SHUSTERMAN (MD) best known for clinically?
Directory data describes MICHAEL S SHUSTERMAN (MD) with Pediatrics Physician. Clinical services aligned with this taxonomy classification.
Does MICHAEL S SHUSTERMAN (MD) list a practice location?
Patients near Dedham, Massachusetts may find MICHAEL S SHUSTERMAN (MD) in results; validate coverage separately.
Is the information about MICHAEL S SHUSTERMAN (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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