Fysal Shennib, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

4301511023 Issued in MI

Practice address

4142 S Mingo Rd
Tulsa, OK 74146-3632

Phone

(918) 417-6400

NPI assigned

Jun 11, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI, OK, TX3 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

Specialty

Pathology

Education

University of Oklahoma College of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pathology Laboratory Associates, Inc.Group PAC ID 3476539529, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension St John Medical Center Hospital, Tulsa, OK, CCN 370114
• Oklahoma Surgical Hospital, LLC Hospital, Tulsa, OK, CCN 370210
• Ascension St John Broken Arrow Hospital, Broken Arrow, OK, CCN 370235
• Hillcrest Medical Center Hospital, Tulsa, OK, CCN 370001
• St John Owasso Hospital, Owasso, OK, CCN 370227

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Pathology Laboratory Associates, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Tulsa, OK
  • NPI 1750314076
  Medicare reassignment Care Compare group NPD
• Regents of the University of Michigan

  • Anatomic Pathology & Clinical Pathology Physician
  • Ann Arbor, MI
  • NPI 1508890468
  Medicare reassignment NPD
• Creek Nation Hospital & Clinics

  dba Creek Nation Health System

  • Clinic/Center
  • Muskogee, OK
  • NPI 1366593923
  Medicare reassignment
• Creek Nation Hospital & Clinics

  dba Creek Nation Community Hospital

  • Family Medicine Physician
  • Okemah, OK
  • NPI 1467053173

  TX

  Medicare reassignment
• Creek Nation Hospital & Clinics

  dba Muscogee Healing and Recovery Center

  • Clinic/Center
  • Muskogee, OK
  • NPI 1922873611
  NPD
• Regents of the University of Michigan

  • Specialty Pharmacy
  • Dexter, MI
  • NPI 1952181919
  NPD

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

• Ahs Hillcrest Medical Center, LLC

  dba Hillcrest Medical Center

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1629057229
  Care Compare affiliation
• Oklahoma Surgical Hospital, LLC

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1487651857
  Care Compare affiliation
• Owasso Medical Facility, Inc

  dba St. John Owasso

  • General Acute Care Hospital
  • Owasso, OK
  • NPI 1144231432
  Care Compare affiliation
• St John Medical Center Inc

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1154417368
  Care Compare affiliation
• St John Medical Center Inc

  • Rehabilitation Hospital Unit
  • Tulsa, OK
  • NPI 1578656161
  Care Compare affiliation
• St. John Broken Arrow, Inc

  dba Ascension St. John Jenks

  • General Acute Care Hospital
  • Broken Arrow, OK
  • NPI 1497988596
  Care Compare affiliation

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1275158628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4142 S MINGO RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741463632",
            "telephone_number": "918-417-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4142 S MINGO RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741463632",
            "telephone_number": "918-417-6400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 E Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481095000",
            "country_code": "US",
            "telephone_number": "734-936-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 Plymouth Rd # 35-1411",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481092800",
            "country_code": "US",
            "telephone_number": "734-764-3270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHENNIB",
        "first_name": "FYSAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-11",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4351046806",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MI",
            "license": "4301511023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wuyinga Shen
• Igor Shendrik, M.D.
• Shenloogian Chiropractic & Acupuncture Clinic, LLC (Shenloogian Chiropractic)
• Jason William Shenloogian, D.C.
• Neely J Shenloogian, D.C.
• Benjamin Andrew Shepard, D.O.
• Rowland Shepard
• Shepcole, Inc. (Sunshine Care Partners of DFW)
• Desmond L Shepherd, MA, LPC
• Kesha Devonne Shepherd, B.S.

• Anatomic Pathology & Clinical Pathology Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Anatomic Pathology & Clinical Pathology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.

Verify at the official NPI Registry.