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

Jesika Shah, MD

Individual provider Pediatrics Physician · NPI 1508076555

Jesika Shah, MD is a Pediatrics Physician in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
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

6809 122nd Ave
Kenosha, WI 53142-7335
Phone: (262) 654-8633
Fax: (262) 654-5467
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 70515-20 (WI)

Record details

NPI number1508076555
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 22, 2007
Last updated in NPPESJune 12, 2019
Mailing address9000 W Wisconsin Ave # Ms 958, Milwaukee, WI 53226-4874

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