DR. SHADY S SHEBAK (M.D.) – Psychiatry Physician, NPI 1629416169

DR. SHADY S SHEBAK (M.D.) is a healthcare provider. based in East lansing, Michigan. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 4301110580 (MI). The NPI Number for DR. SHADY S SHEBAK (M.D.) is 1629416169

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHADY S SHEBAK (M.D.)
NPI
1629416169
Phone
(517) 884-2976
Address
804 SERVICE RD, A201
Enumeration Date
6 June 2013
Last Update Date
1 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3134290470
Graduation Year
2013 (13 years ago)
PAC ID
1951536895
Group Practice PAC ID
8325384225
Professional Enrollment ID
I20170705000602
Address ID
MI481243852DE3815XSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:13State licenses:2Digital endpointsOther names

1,216 PSYCHIATRY in MI

Provider Addresses for DR. SHADY S SHEBAK (M.D.)

  • 804 SERVICE RD, A201

    EAST LANSING, MI 48824

    Phone: (517) 884-2976

    Fax: (517) 432-3928

    Type: Mailing

  • 965 FEE RD

    ROOM A233 EAST FEE HALL

    EAST LANSING, MI 488246410

    Phone: (517) 353-4362

    Type: Location

  • 17330 Farmington Rd

    Livonia, MI 481523158

    Phone: (313) 722-4683

    Type: Location

  • 3815 PELHAM ST STE 13

    DEARBORN, MI 481243852

    Phone: (131) 368-0080

    Fax: (313) 241-9342

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 92 Open Payments records for all available years, with a total value of $1,889.

Total Amount is formed as General ($1,889) + Research ($0) + Ownership ($0) = $1,889.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($328).

Total Amount

$1,889

General + Research + Ownership

Payments

92

Total payment records

General Amount

$1,889

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2017-07-05

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
I20170705000602IPsychiatryMITBD

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 minutes400159$0
99214Established patient office or other outpatient visit, 30-39 minutes372113$0
90868Treatment using magnetic field to stimulate nerve cells in brain, subsequent delivery and management16811$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes14149$0
99215Established patient office or other outpatient visit, 40-54 minutes10322$0
View full utilization report →

Insurance plans in this area (ZIP 48824)

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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: 8325384225View full group profile
NameSpecialtyState
Nurse PractitionerMI
Physician AssistantMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

What is the registry number for DR. SHADY S SHEBAK (M.D.)?
The registry entry for DR. SHADY S SHEBAK (M.D.) shows NPI 1629416169.
Is DR. SHADY S SHEBAK (M.D.)'s NPI status active today?
Active status means DR. SHADY S SHEBAK (M.D.)'s NPI record is not deactivated in the public file.
How should patients interpret DR. SHADY S SHEBAK (M.D.)'s specialty?
The extract shows Psychiatry Physician for DR. SHADY S SHEBAK (M.D.). Clinical services aligned with this taxonomy classification.
What city is tied to DR. SHADY S SHEBAK (M.D.)?
The directory associates DR. SHADY S SHEBAK (M.D.) with East Lansing, Michigan. Check all listed addresses for suites or satellite offices.
Can I export DR. SHADY S SHEBAK (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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