MRS. DEESHALI SHAH (D.O.) – Diagnostic Radiology Physician, NPI 1023306594

MRS. DEESHALI SHAH (D.O.) is a healthcare provider. based in Sterling heights, Michigan. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials D.O.. They hold a License No. 5101019537 (MI). The NPI Number for MRS. DEESHALI SHAH (D.O.) is 1023306594

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
MRS. DEESHALI SHAH (D.O.)
NPI
1023306594
Phone
(559) 789-7547
Address
3602 CHERRY CREEK LN
Enumeration Date
18 July 2011
Last Update Date
18 July 2011

Doctor Profile

Medical School Name
WILLIAM CAREY UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
7579433660
Graduation Year
2011 (15 years ago)
PAC ID
0840582607
Group Practice PAC ID
2860910171
Professional Enrollment ID
I20250903001309
Address ID
VA234626746VI4677XSTXX322
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,650 DIAGNOSTIC RADIOLOGY in MI

Provider Addresses for MRS. DEESHALI SHAH (D.O.)

  • 3602 CHERRY CREEK LN

    STERLING HEIGHTS, MI 483141033

    Phone: (559) 789-7547

    Type: Mailing

  • 28050 GRAND RIVER AVE

    FARMINGTON HILLS, MI 483365919

    Phone: (559) 789-7547

    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 $243.

Total Amount is formed as General ($243) + Research ($0) + Ownership ($0) = $243.

Last reported payment date: 2024-09-04 • Largest payer in this snapshot: Philips North America LLC ($243).

Total Amount

$243

General + Research + Ownership

Payments

1

Total payment records

General Amount

$243

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Philips North America LLC$243
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: 2025-09-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20160714001694IDiagnostic RadiologyCATBD
I20210527001818IDiagnostic RadiologyAZTBD
I20250210003349IDiagnostic RadiologyKYTBD
I20250903001309IDiagnostic RadiologyVATBD

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
71046X-ray of chest, 2 views224223$0
71250Ct scan of chest without contrast208204$0
73721Mri scan of leg joint without contrast112109$0
70450Ct scan head or brain without contrast105105$0
73700Ct scan of leg without contrast9796$0
View full utilization report →

Insurance plans in this area (ZIP 48314)

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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: 2860910171View full group profile
NameSpecialtyState
Diagnostic RadiologyOH
Diagnostic RadiologyOH
Diagnostic RadiologyOH
Diagnostic Radiology, Interventional RadiologyTX
Diagnostic RadiologyOH
Diagnostic Radiology, Interventional RadiologyOH
Diagnostic RadiologyIL

Reviews

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Frequently asked questions

Can I use this page to confirm MRS. DEESHALI SHAH (D.O.)'s NPI?
Yes. MRS. DEESHALI SHAH (D.O.) is listed with NPI 1023306594 in the public NPI dataset.
Can I rely on MRS. DEESHALI SHAH (D.O.) being an active provider?
As of the registry snapshot, MRS. DEESHALI SHAH (D.O.) is marked active.
What taxonomy line describes MRS. DEESHALI SHAH (D.O.)?
For research purposes, treat MRS. DEESHALI SHAH (D.O.) as Diagnostic Radiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does MRS. DEESHALI SHAH (D.O.) list a practice location?
Patients near Sterling Heights, Michigan may find MRS. DEESHALI SHAH (D.O.) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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