Shekha Sherin Nelliadi, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301512149 Issued in MI

Practice address

2790 Health Pkwy
Mount Pleasant, MI 48858-6934

Phone

(989) 779-5642

NPI assigned

Nov 19, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shekhasherin.nelliadi.p1@direct.isabellahealth.nextgenshare.com

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.

• Isabella Citizens for Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Mt Pleasant, MI
  • NPI 1104177195
  Medicare reassignment NPD
• Isabella Citizens for Health Inc

  • Federally Qualified Health Center (FQHC)
  • Farwell, MI
  • NPI 1548090491
  NPD
• Isabella Citizens for Health Inc

  • Community/Retail Pharmacy
  • Mt Pleasant, MI
  • NPI 1942842471
  NPD

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1386301729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 OAKLAND DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081282",
            "telephone_number": "269-337-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 HEALTH PKWY",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488586934",
            "telephone_number": "989-779-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELLIADI",
        "first_name": "SHEKHA SHERIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-19",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301512149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mymichigan Medical Center Clare
• Mymichigan Medical Center Midland
• Pamela Sue Myslivec, LLPC
• William Edward Naill, M.D.
• Cheryl Natzel
• Melanie Dawn Nelson, PHD CCC-A
• Michael Anthony Nerbonne, PHD CCCA
• Beth Ann Nesbitt, BSN,RN
• Melissa Ann Neu
• Wendy Nevins

• Pediatrics Physician in Mount Pleasant, MI
• Providers in Mount Pleasant, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.

Verify at the official NPI Registry.