| Dr Kaiser Shah, MD | |
|
3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | |
| (616) 284-3132 | |
| Not Available |
| Full Name | Dr Kaiser Shah |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 11 Years |
| Location | 3333 Evergreen Dr Ne, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710305131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 4301510705 (Michigan) | Secondary |
| 207L00000X | Anesthesiology | 036147091 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Presence Mercy Medical Center | Aurora, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Associates, Ltd | 2961303425 | 48 |
| Entity Name | Anesthesia Associates, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952308223 PECOS PAC ID: 2961303425 Enrollment ID: O20040224000185 |
| Entity Name | Northstar Anesthesia Of Illinois, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962822395 PECOS PAC ID: 4688893878 Enrollment ID: O20140922000405 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kaiser Shah, MD 1107 White Pine Ln, Western Springs, IL 60558-5018 Ph: (630) 802-8747 | Dr Kaiser Shah, MD 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 Ph: (616) 284-3132 |
Matthew H Armstrong, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-1510 | |
Daniel H. Robinson, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-685-5000 | |
Cheryl Lukins, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 25 Michigan St Ne Ste 2200, Grand Rapids, MI 49503 Phone: 616-391-3245 | |
Dr. Steven Denhof, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1840 Wealthy St Se, Grand Rapids, MI 49506 Phone: 616-391-1730 | |
Dr. Jeffrey M Ricketts, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-364-4200 Fax: 616-364-7347 | |
Christopher Ross Russo, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 710 Kenmoor Ave Se, Suite 200, Grand Rapids, MI 49546 Phone: 616-588-7246 Fax: 616-588-7086 | |
Samuel Lee, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 Michign St Ne, Grand Rapids, MI 49503 Phone: 616-364-4200 |