Active NPI
Nima Shayesteh, MD
- Emergency Medicine Physician
- Warsaw, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 01094676A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
- Parkview Noble Hospital
- Parkview Lagrange Hospital
- Parkview Huntington Hospital
- Parkview Dekalb Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.171911 | IL | MD | Emergency Medicine Physician |
| 01094676A | IN | MD | Emergency Medicine Physician |
| 85139-20 | WI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor College of Medicine | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Idoc Virtual Telehealth Texas | Current | Accepting new patients | |
| Nluc PLLC | Current | Accepting new patients | |
| Interventional Pain Consultants, LLC | Current | Accepting new patients | |
| Professional Emergency Physicians PC | Emergency Medicine | Current | Accepting new patients |
| 24 Hour Physicians, Inc | Emergency Medicine | Current | Accepting new patients |
| Community Hospital of Lagrange County Inc | Current | Accepting new patients | |
| Community Hospital of Lagrange County, Inc. | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Memorial Hospital Inc | Current | Accepting new patients | |
| Nluc PLLC | Current | Accepting new patients | |
| TK Emergency Physicians Group PLLC | Emergency Medicine | Current | Accepting new patients |
| Memorial Hospital Inc | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| Idoc Telehealth Solutions, Inc | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Next Level MV LLC | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| Next Level MV LLC | Current | Accepting new patients | |
| Nluc PLLC Dba Next Level Urgent Care | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| Travis County Emergency Physicians PA | Emergency Medicine | Current | 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.
-
- Critical Access Hospital
- Lagrange, IN
- NPI 1679674956
-
- Emergency Medicine Physician
- Fort Wayne, IN
- NPI 1144215096
-
- Emergency Medicine Physician
- Spring, TX
- NPI 1396083424
-
- Family Medicine Physician
- Houston, TX
- NPI 1053352914
-
- Clinic/Center
- Beaver Dam, WI
- NPI 1972188555
-
- Clinic/Center
- Park Falls, WI
- NPI 1194317966
-
- Critical Access Hospital
- Park Falls, WI
- NPI 1700963048
-
- Critical Care Medicine (Internal Medicine) Physician
- Houston, TX
- NPI 1851783534
-
- Specialist
- Houston, TX
- NPI 1275098568
-
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
-
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Lagrange, IN
- NPI 1679674956
-
- General Acute Care Hospital
- Kendallville, IN
- NPI 1457366189
-
- General Acute Care Hospital
- Auburn, IN
- NPI 1902897937
-
- General Acute Care Hospital
- Huntington, IN
- NPI 1003821729
-
- General Acute Care Hospital
- Columbia City, IN
- NPI 1205844495
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.