DR. SHADI IDRIS (MD.) – Internal Medicine Physician, NPI 1891919312

DR. SHADI IDRIS (MD.) is a healthcare provider. based in Kalamazoo, Michigan. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERVENTIONAL CARDIOLOGY. They hold the professional credentials MD.. They hold a License No. 54455 (AZ). The NPI Number for DR. SHADI IDRIS (MD.) is 1891919312

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHADI IDRIS (MD.)
NPI
1891919312
Phone
(269) 381-3963
Address
1722 SHAFFER ST STE 1
Enumeration Date
13 April 2007
Last Update Date
8 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2697828681
Graduation Year
2000 (26 years ago)
PAC ID
5698849677
Group Practice PAC ID
7719881002
Professional Enrollment ID
I20080808000643
Address ID
MI490471943DO420XXSTXX403
Telehealth
Yes

Contacts

Secure Messaging
shadi.idris.1@1576.direct.athenahealth.com
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness95
Years active:19State licenses:2Other names

1,221 CARDIOVASCULAR DISEASE (CARDIOLOGY) in MI

Provider Addresses for DR. SHADI IDRIS (MD.)

  • 1722 SHAFFER ST STE 1

    KALAMAZOO, MI 490481633

    Phone: (269) 381-3963

    Fax: (269) 381-1403

    Type: Location

  • PO BOX 1749

    CHANDLER, AZ 852441749

    Phone: (480) 398-7737

    Fax: (480) 350-7847

    Type: Mailing

  • 2680 S VAL VISTA DR STE 131

    GILBERT, AZ 852952155

    Phone: (480) 398-7737

    Fax: (480) 350-7847

    Type: Location

  • 1717 SHAFFER ST

    SUITE 002

    KALAMAZOO, MI 490481623

    Phone: (269) 552-2823

    Fax: (269) 552-2964

    Type: Mailing

  • 3245 HEALTH DR STE 100

    GRANGER, IN 465301380

    Phone:

    Type: Mailing

  • 6320 N La Cholla Blvd Ste 300

    Tucson, AZ 857413552

    Phone: (520) 545-0953

    Fax: (520) 545-0954

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $684.

Total Amount is formed as General ($684) + Research ($0) + Ownership ($0) = $684.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Medtronic, Inc. ($231).

Total Amount

$684

General + Research + Ownership

Payments

16

Total payment records

General Amount

$684

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2017-07-19

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
I20080808000643ICardiovascular Disease (Cardiology)MITBD
I20170719002034ICardiac ElectrophysiologyAZTBD

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
93294Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days197119$0
93295Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days18499$0
93280Programming of dual lead pacemaker system131101$0
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes9088$0
99213Established patient office or other outpatient visit, 20-29 minutes8361$0
View full utilization report →

Insurance plans in this area (ZIP 49048)

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Provider's Procedures

DR. SHADI IDRIS (MD.) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIAC ELECTROPHYSIOLOGYAZ93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report2318
CARDIAC ELECTROPHYSIOLOGYAZ93284Evaluation, testing and programming adjustment of defibrillator with analysis, review and report1411

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: 7719881002View full group profile
NameSpecialtyState
Diagnostic RadiologyPA
-WI
Internal Medicine, Cardiovascular Disease (Cardiology)MI
-MI
Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
Internal MedicineMI
Certified Registered Nurse Anesthetist (Crna)MI
-MI
Hematology/Oncology, Internal MedicineMI
Interventional Cardiology, Cardiovascular Disease (Cardiology)MI

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. SHADI IDRIS (MD.)?
DR. SHADI IDRIS (MD.) — NPI 1891919312 — is the standard way to identify this listing.
Can I rely on DR. SHADI IDRIS (MD.) being an active provider?
As of the registry snapshot, DR. SHADI IDRIS (MD.) is marked active.
What is DR. SHADI IDRIS (MD.)'s specialty?
The listing groups DR. SHADI IDRIS (MD.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does DR. SHADI IDRIS (MD.) serve?
DR. SHADI IDRIS (MD.)'s listing highlights Kalamazoo, Michigan; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.