Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shadi Idris, MD

Individual provider Cardiovascular Disease Physician · NPI 1891919312

Dr. Shadi Idris, MD is a Cardiovascular Disease (Cardiology) in Kalamazoo, Michigan. Qualified in 2000, 26 years ago. Practices with Ascension Borgess Hospital, a 41-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Michigan.

Years since qualifying
26
Licensed in
AZ, MI
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1722 Shaffer St Ste 1
Kalamazoo, MI 49048-1633
Phone: (269) 381-3963
Fax: (269) 381-1403
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6320 N La Cholla Blvd Ste 300, Tucson, AZ 85741-3552 — (520) 545-0953

Specialties & licences

Clinical Cardiac Electrophysiology Physician (primary) Taxonomy 207RC0001X · Licence 4301085994 (MI)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 54455 (AZ)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 4301085994 (MI)
Clinical Cardiac Electrophysiology Physician Taxonomy 207RC0001X · Licence 54455 (AZ)

Record details

NPI number1891919312
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 13, 2007
Last updated in NPPESMay 8, 2026
Certification dateMay 8, 2026
Mailing address3245 Health Dr Ste 100, Granger, IN 46530-1380

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERVENTIONAL CARDIOLOGY
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Ascension Borgess Hospital — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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