DR. KEROLOS SHENOUDA (MD) – Otolaryngology Physician, NPI 1598129579

DR. KEROLOS SHENOUDA (MD) is a healthcare provider. based in Detroit, Michigan. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 4301504615 (MI). The NPI Number for DR. KEROLOS SHENOUDA (MD) is 1598129579

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEROLOS SHENOUDA (MD)
NPI
1598129579
Phone
Not provided
Address
4201 SAINT ANTOINE ST
Enumeration Date
6 April 2016
Last Update Date
4 June 2026

Doctor Profile

Medical School Name
OAKLAND UNIV, WILLIAM BEAUMONT SCHOOL OF MEDICINE
Secondary Phone
2485695985
Graduation Year
2016 (10 years ago)
PAC ID
7618379298
Group Practice PAC ID
4284604174
Professional Enrollment ID
I20210706002632
Address ID
MI480347648SO29201RDXX301
Telehealth
Yes
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:10State licenses:2Digital endpointsOther names

428 OTOLARYNGOLOGY in MI

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Provider Addresses for DR. KEROLOS SHENOUDA (MD)

  • Detroit Receiving Hospital and University Health Center, 4201, Saint Antoine Street, Medical Center, Midtown, Detroit, Wayne County, Michigan, 48201, United States

    UNIVERSITY HEALTH CENTER

    DETROIT, MI 482012153

    Phone:

    Type: Mailing

  • 44200 WOODWARD AVE STE 201

    PONTIAC, MI 483415045

    Phone: (248) 334-9490

    Fax: (248) 636-1170

    Type: Mailing

  • 2213 Cherry St

    Toledo, OH 436082603

    Phone: (419) 251-1020

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $1,876.

Total Amount is formed as General ($1,876) + Research ($0) + Ownership ($0) = $1,876.

Last reported payment date: 2024-10-11 • Largest payer in this snapshot: Stryker Corporation ($1,333).

Total Amount

$1,876

General + Research + Ownership

Payments

26

Total payment records

General Amount

$1,876

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-11

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-07-06

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
I20210706002632IOtolaryngologyMITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes173138$0
92567Test to assess middle ear function138128$0
92557Comprehensive hearing and speech recognition test129123$0
99203New patient office or other outpatient visit, 30-44 minutes115115$0
69210Removal of impacted ear wax8067$0
View full utilization report →

Insurance plans in this area (ZIP 48201)

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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: 4284604174View full group profile
NameSpecialtyState
Qualified AudiologistMI
Qualified AudiologistMI
Qualified AudiologistMI
O T O L A R Y N G O L O G YMI
O T O L A R Y N G O L O G YMI
Qualified AudiologistMI
Physician AssistantMI
Physician AssistantMI
Qualified AudiologistMI
Qualified AudiologistMI

Reviews

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Frequently asked questions

What is the standard ID for DR. KEROLOS SHENOUDA (MD) in the U.S.?
In the U.S., DR. KEROLOS SHENOUDA (MD) is identified by NPI 1598129579.
Should I treat DR. KEROLOS SHENOUDA (MD) as an active provider?
Patients and plans typically see DR. KEROLOS SHENOUDA (MD) as active in the national extract.
What does the directory say DR. KEROLOS SHENOUDA (MD) does?
Insurance directories may phrase it differently, but here DR. KEROLOS SHENOUDA (MD) maps to Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Is DR. KEROLOS SHENOUDA (MD) tied to Detroit, Michigan?
If you are local to Detroit, Michigan, DR. KEROLOS SHENOUDA (MD) may be relevant to your search.
Why is information missing for DR. KEROLOS SHENOUDA (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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