KOOTAYBAH ALSHEIKHLY (M.D.) – Cardiovascular Disease Physician, NPI 1376079384

KOOTAYBAH ALSHEIKHLY (M.D.) is a healthcare provider. based in Shelby twp, Michigan. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. 4301501769 (MI). The NPI Number for KOOTAYBAH ALSHEIKHLY (M.D.) is 1376079384

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
KOOTAYBAH ALSHEIKHLY (M.D.)
NPI
1376079384
Phone
(586) 580-3062
Address
50505 SCHOENHERR RD STE 320
Enumeration Date
11 May 2017
Last Update Date
9 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5865803062
Graduation Year
2011 (15 years ago)
PAC ID
7315214244
Group Practice PAC ID
1850330309
Professional Enrollment ID
I20230629001749
Address ID
MI483153141SH50505RDXX309
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

724 CARDIOVASCULAR DISEASE (CARDIOLOGY) in IN

Provider Addresses for KOOTAYBAH ALSHEIKHLY (M.D.)

  • 50505 SCHOENHERR RD STE 320

    SHELBY TWP, MI 483153141

    Phone: (586) 580-3062

    Fax: (586) 580-3143

    Type: Mailing

  • 1210 MEDICAL ARTS BLVD STE 104A

    ANDERSON, IN 460113461

    Phone: (317) 355-7220

    Type: Location

  • 50505 Schoenherr Rd Ste 320

    Shelby Twp, MI 483153141

    Phone: (586) 580-3062

    Fax: (586) 580-3143

    Type: Location

  • St. John Hospital and Medical Center, 22101, Moross Road, Detroit, Wayne County, Michigan, 48236, United States

    VEP, 2ND FLOOR CATH LAB

    DETROIT, MI 482362148

    Phone: (313) 343-4612

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 55 Open Payments records for all available years, with a total value of $2,131.

Total Amount is formed as General ($2,131) + Research ($0) + Ownership ($0) = $2,131.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Kestra Medical Technology Services, Inc. ($474).

Total Amount

$2,131

General + Research + Ownership

Payments

55

Total payment records

General Amount

$2,131

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

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: 2025-08-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20230629001749ICardiovascular Disease (Cardiology)MITBD
I20250814000626ICardiovascular Disease (Cardiology)INTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes541176$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes128117$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function8585$0
93325Ultrasound of heart with color-depicted blood flow, rate and valve function2019$0
93312Ultrasound of heart with probe in esophagus, with report2019$0
View full utilization report →

Insurance plans in this area (ZIP 48315)

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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: 1850330309View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Interventional Cardiology, Cardiovascular Disease (Cardiology), Interventional RadiologyMI
Nurse PractitionerMI
Nurse PractitionerMI
Physician AssistantMI
Cardiovascular Disease (Cardiology), Interventional CardiologyMI
Cardiovascular Disease (Cardiology), Interventional CardiologyMI
Cardiovascular Disease (Cardiology)MI

Reviews

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Frequently asked questions

What federal number belongs to KOOTAYBAH ALSHEIKHLY (M.D.)?
The federal identifier for KOOTAYBAH ALSHEIKHLY (M.D.) is NPI 1376079384.
Does this profile mean KOOTAYBAH ALSHEIKHLY (M.D.) is currently active?
Yes — KOOTAYBAH ALSHEIKHLY (M.D.) appears active in the national provider directory.
What kind of provider is KOOTAYBAH ALSHEIKHLY (M.D.)?
The page reflects Cardiovascular Disease Physician for KOOTAYBAH ALSHEIKHLY (M.D.). Clinical services aligned with this taxonomy classification.
Where is KOOTAYBAH ALSHEIKHLY (M.D.)'s primary listing?
We display Shelby Twp, Michigan because that is what the record indicates for KOOTAYBAH ALSHEIKHLY (M.D.).
Is KOOTAYBAH ALSHEIKHLY (M.D.) a real provider?
This page reflects official NPPES data for NPI 1376079384. Always confirm identity and privileges with the practice and licensing boards.

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