Active NPI
Shirley Louis
- Pediatrics Physician
- Bronx, NY
National Provider Identifier
1194136317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301504515
- Practice address
- 1625 Eastchester Rd
Bronx, NY 10461-2604 - Phone
- (718) 904-4032
- NPI assigned
- May 9, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301504515 | MI | Primary |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 111104 | GA |
Addresses
Primary practice location
1625 Eastchester Rd
Bronx, NY 10461-2604
Mailing address
619 Matteline St
Uniondale, NY 11553-2618
Phone (516) 770-4094
Other practice location 1
Hsc T 11 Rm 040
Stony Brook, NY 11794-0001
Phone (631) 444-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Pediatricians | Pediatrics | Current | Accepting new patients |
| University Pediatricians | Pediatrics | Current | Accepting new patients |
| VHS Harper-Hutzel Hospital Inc | Past | Accepting new patients | |
| VHS Childrens Hospital of Michigan Inc | Past | Accepting new patients |
Locations
3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Detroit, MI
- NPI 1811920549
-
- Pediatrics Physician
- Detroit, MI
- NPI 1184471690
-
- Children's Hospital
- Detroit, MI
- NPI 1538471800
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1427360700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1194136317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 MATTELINE ST",
"city": "UNIONDALE",
"state": "NY",
"postal_code": "115532618",
"telephone_number": "516-770-4094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 EASTCHESTER RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104612604",
"telephone_number": "718-904-4032"
}
],
"practiceLocations": [
{
"address_1": "Hsc T 11 Rm 040",
"address_purpose": "LOCATION",
"city": "Stony Brook",
"state": "NY",
"postal_code": "117940001",
"country_code": "US",
"telephone_number": "631-444-2020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOUIS",
"first_name": "SHIRLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-09",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301504515",
"primary": true
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "GA",
"license": "111104",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.