NPIMap

Individual provider Active NPI

Kerolos Shenouda, MD

  • Otolaryngology Physician
  • Toledo, OH
National Provider Identifier
1598129579
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
35C.003984 Issued in OH
Practice address
2213 Cherry St
Toledo, OH 43608-2603
Phone
(419) 251-1020
NPI assigned
Apr 6, 2016
Last updated
Aug 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 4301504615 MI
Otolaryngology Physician 207Y00000X 35C.003984 OH Primary

Addresses

Primary practice location

2213 Cherry St
Toledo, OH 43608-2603

Mailing address

3334 Rochester Rd # 714
Troy, MI 48083-5426

Other practice location 1

15930 19 Mile Rd Ste 140
Clinton Township, MI 48038-1155
Phone (586) 280-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260618002189 OH Practitioner - Otolaryngology 7618379298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Oakland Univ, William Beaumont School of Medicine, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2213 Cherry St
Toledo, OH 43608-2691

303 N Clyde Morris Blvd
Daytona BCH, FL 32114-2709

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301504615MIMDOtolaryngology Physician
35C.003984OHMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Nose and Throat Consultants PC CurrentSince Sep 21, 2024 Accepting new patients
Michigan Ear Nose and Throat Associates PC Otolaryngology CurrentSince Jul 19, 2021 Accepting new patients
Bashar Succar MD PC PastSince Aug 15, 2021 Accepting new patients

Locations

7300 Dixie Hwy
Ste 100
Clarkston, MI 48346
Phone (248) 625-8450

31450 7 Mile Rd
Livonia, MI 48152
Phone (248) 478-6363

27483 Dequindre Rd
Ste 201
Madison Hts, MI 48071
Phone (248) 541-0100

26850 Providence Pkwy
Ste 165
Novi, MI 48374

44200 Woodward Ave
Ste 20
Pontiac, MI 48341
Phone (248) 334-9490

44200 Woodward Ave
Ste 201
Pontiac, MI 48341
Phone (248) 334-9490

21603 E 11 Mile Rd
Saint Clair Shores, MI 48081
Phone (586) 280-2100

29201 Telegraph Rd
Ste 500
Southfield, MI 48034

Interoperability endpoints

  • Direct secure messaging: kshenouda1139886@direct.trinity-health.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1598129579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3334 ROCHESTER RD # 714",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 CHERRY ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082603",
            "telephone_number": "419-251-1020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15930 19 Mile Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480381155",
            "country_code": "US",
            "telephone_number": "586-280-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHENOUDA",
        "first_name": "KEROLOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-06",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301504615",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "35C.003984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.