Individual provider Active NPI

Nima Shayesteh, MD

  • Emergency Medicine Physician
  • Warsaw, IN
National Provider Identifier
1194097691
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01094676A Issued in IN
Practice address
1355 Mariners Dr
Warsaw, IN 46582-7145
Phone
(260) 482-4440
NPI assigned
Jan 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 717881 TX
Emergency Medicine Physician 207P00000X 036.171911 IL
Nurse Practitioner 363L00000X AP121411 TX
Emergency Medicine Physician 207P00000X 01094676A IN Primary
Emergency Medicine Physician 207P00000X 85139-20 WI

Addresses

Primary practice location

1355 Mariners Dr
Warsaw, IN 46582-7145

Mailing address

5943 Turtle Beach LN
Houston, TX 77036-4528

Other practice location 1

1000 N. Oak Ave
Marshfield, WI 54449
Phone (715) 389-0791

Other practice location 2

15900 La Cantera Pkwy
Suite 20265
San Antonio, TX 78256-2422
Phone (210) 314-4740

Other practice location 3

20201 Crawford Ave
Olympia Fields, IL 60461-1010
Phone (708) 747-4000

Other practice location 4

8100 Highway 6 N Ste E
Houston, TX 77095-1923
Phone (281) 783-8162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IN, WI3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20120711000160 TX Practitioner - Nurse Practitioner 0648435958 Reassigns benefits to 9 organizations
I20250117001523 IN Practitioner - Emergency Medicine 0648435958 Reassigns benefits to 2 organizations
I20250829002074 WI Practitioner - Emergency Medicine 0648435958 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1000 N Oak Ave
Marshfield, WI 54449-5702

1000 N Oak Ave
Marshfield, WI 54449-5703

Hospital & facility affiliations

  • Parkview Whitley Hospital Hospital, Columbia City, IN, CCN 150101
  • Parkview Noble Hospital Hospital, Kendallville, IN, CCN 150146
  • Parkview Lagrange Hospital Hospital, Lagrange, IN, CCN 151323
  • Parkview Huntington Hospital Hospital, Huntington, IN, CCN 150091
  • Parkview Dekalb Hospital Hospital, Auburn, IN, CCN 150045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
036.171911ILMDEmergency Medicine Physician
01094676AINMDEmergency Medicine Physician
85139-20WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Nov 13, 2019 Accepting new patients
MCHS Hospitals Inc CurrentSince Jul 7, 2025 Accepting new patients
Idoc Virtual Telehealth Texas CurrentSince Jan 1, 2020 Accepting new patients
Nluc PLLC Current Accepting new patients
Interventional Pain Consultants, LLC CurrentSince Jul 9, 2025 Accepting new patients
Professional Emergency Physicians PC Emergency Medicine CurrentSince Dec 14, 2024 Accepting new patients
24 Hour Physicians, Inc Emergency Medicine CurrentSince Jul 1, 2016 Accepting new patients
Community Hospital of Lagrange County Inc CurrentSince Oct 6, 2025 Accepting new patients
Community Hospital of Lagrange County, Inc. CurrentSince Oct 6, 2025 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jul 7, 2025 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Memorial Hospital Inc CurrentSince Jul 7, 2025 Accepting new patients
Nluc PLLC CurrentSince Mar 16, 2019 Accepting new patients
TK Emergency Physicians Group PLLC Emergency Medicine CurrentSince Sep 21, 2021 Accepting new patients
Memorial Hospital Inc CurrentSince Jul 7, 2025 Accepting new patients
Flambeau Hospital Inc Current Accepting new patients
MCHS Hospitals Inc CurrentSince Jul 7, 2025 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jul 7, 2025 Accepting new patients
Marshfield Clinic Inc CurrentSince Jul 7, 2025 Accepting new patients
Idoc Telehealth Solutions, Inc CurrentSince Sep 15, 2018 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jul 7, 2025 Accepting new patients
Next Level MV LLC CurrentSince Sep 1, 2019 Accepting new patients
Flambeau Hospital Inc CurrentSince Jul 7, 2025 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jul 7, 2025 Accepting new patients
Next Level MV LLC CurrentSince Sep 1, 2019 Accepting new patients
Nluc PLLC Dba Next Level Urgent Care CurrentSince Mar 16, 2019 Accepting new patients
Baylor College of Medicine CurrentSince Nov 13, 2019 Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Sep 12, 2023 Accepting new patients
MCHS Hospitals Inc Emergency Medicine Current Accepting new patients
Methodist Health Centers Past Accepting new patients
Nluc PLLC Dba Next Level Urgent Care Past Accepting new patients
Emergency Medical Associates of Tampa Bay, LLC Emergency Medicine Past Accepting new patients
Baylor College of Medicine Past Accepting new patients

Locations (25 of 46)

416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141

1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600

608 Union Chapel Rd
Fort Wayne, IN 46845
Phone (260) 482-4440

2200 Randallia Dr
Fort Wayne, IN 46805
Phone (260) 373-4000

11109 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 266-2020

2001 Stults Rd
Huntington, IN 46750
Phone (219) 355-3000

401 N Sawyer Rd
Kendallville, IN 46755
Phone (260) 347-1100

207 N Townline Rd
Lagrange, IN 46761
Phone (260) 266-5300

10 John Kissinger Dr
Wabash, IN 46992
Phone (260) 424-2195

1355 Mariners Dr
Warsaw, IN 46582
Phone (574) 267-6778

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

4401 Garth Rd
Baytown, TX 77521
Phone (281) 420-8500

7710 Garth Rd
Ste A
Baytown, TX 77521

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

14120 FM 2100 Rd
Crosby, TX 77532
Phone (281) 328-7770

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

2001 Hermann Dr
Houston, TX 77004
Phone (713) 285-5500

4635 Southwest Fwy
Ste 525
Houston, TX 77027
Phone (503) 421-5124

8100 Highway 6 N
Ste E
Houston, TX 77095
Phone (832) 304-2314

18220 Tomball Pkwy
Houston, TX 77070
Phone (281) 477-0000

1504 Taub Loop
#621
Houston, TX 77030

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

18500 Katy Fwy
Houston, TX 77094
Phone (281) 206-9020

620 S Main St
Keller, TX 76248
Phone (214) 294-6100

Organizations & group practices 34

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 34

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1194097691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5943 TURTLE BEACH LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770364528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 MARINERS DR",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465827145",
            "telephone_number": "260-482-4440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 N. Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Marshfield",
            "state": "WI",
            "postal_code": "54449",
            "country_code": "US",
            "telephone_number": "715-389-0791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15900 La Cantera Pkwy",
            "address_2": "Suite 20265",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782562422",
            "country_code": "US",
            "telephone_number": "210-314-4740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20201 Crawford Ave",
            "address_purpose": "LOCATION",
            "city": "Olympia Fields",
            "state": "IL",
            "postal_code": "604611010",
            "country_code": "US",
            "telephone_number": "708-747-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8100 Highway 6 N Ste E",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770951923",
            "country_code": "US",
            "telephone_number": "281-783-8162",
            "fax_number": "713-439-7995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAYESTEH",
        "first_name": "NIMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-31",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "717881",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036.171911",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP121411",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01094676A",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "85139-20",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, IN

Sources for this page

Verify at the official NPI Registry.