SHIRIN YUSUBOV (MD) – Student in an Organized Health Care Education/Training Program, NPI 1396360848
Student in an Organized Health Care Education/Training Program
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NPPES metrics only — not quality of care.
2,271 ANESTHESIOLOGY in OH
Provider Addresses for SHIRIN YUSUBOV (MD)
3000 ARLINGTON AVE STOP 1108
TOLEDO, OH 436142595
Phone: (419) 383-5322
Type: Mailing
3000 ARLINGTON AVE
TOLEDO, OH 436142595
Phone: (419) 383-3556
Fax: (419) 383-3550
Type: Location
11012 E 13 Mile Rd
Warren, MI 480932572
Phone: (586) 751-9800
Type: Location
50 N Perry St
Pontiac, MI 483422217
Phone: (248) 338-5392
Type: Location
22401 Foster Winter Dr
Southfield, MI 480753724
Phone: (248) 423-5198
Type: Location
3330 Meijer Dr
Toledo, OH 436173103
Phone: (419) 578-2020
Type: Location
50 N PERRY ST
PONTIAC, MI 483422217
Phone: (248) 338-5392
Type: Mailing
4235 Secor Rd
Toledo, OH 436234299
Phone: (419) 473-3561
Type: Location
975 Port Washington Rd
Grafton, WI 530249201
Phone: (262) 329-1000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $462.
Total Amount is formed as General ($462) + Research ($0) + Ownership ($0) = $462.
Last reported payment date: 2024-02-21 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($229).
Total Amount
$462
General + Research + Ownership
Payments
4
Total payment records
General Amount
$462
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pacira Pharmaceuticals Incorporated | $229 |
| EAGLE PHARMACEUTICALS, INC. | $120 |
| Heron Therapeutics, Inc. | $113 |
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: 2026-01-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241107003829 | I | Anesthesiology | WI | TBD |
| I20251210001647 | I | Anesthesiology | MI | TBD |
| I20260113002776 | I | Anesthesiology | OH | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43614)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| Anesthesiology Assistant | OH | |
| A N E S T H E S I O L O G Y | MI | |
| A N E S T H E S I O L O G Y | OH | |
| A N E S T H E S I O L O G Y | MI | |
| Anesthesiology Assistant | IN | |
| Anesthesiology Assistant | MI | |
| A N E S T H E S I O L O G Y | OH | |
| A N E S T H E S I O L O G Y | PA | |
| A N E S T H E S I O L O G Y | OH |
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