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

Michael Shishov, MD

Individual provider Pediatric Rheumatology Physician · NPI 1972552396

Michael Shishov, MD is a Rheumatology in Phoenix, Arizona. Qualified in 2000, 26 years ago. Practices with Phoenix Children's Hospital, a 430-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
26
Licensed in
AZ
In the registry since
2006
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

1920 E Cambridge Ave Ste 200
Phoenix, AZ 85016-1459
Phone: (602) 933-0909
Fax: (602) 933-0911
Show map & directions

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

Specialties & licences

Pediatric Rheumatology Physician (primary) Taxonomy 2080P0216X · Licence 35371 (AZ)

Record details

NPI number1972552396
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 10, 2006
Last updated in NPPESNovember 22, 2011
Mailing address1920 E Cambridge Ave, Suite 200, Phoenix, AZ 85006-1459

Medicare enrollment

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

Medicare specialtyRHEUMATOLOGY
Also practisesPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Phoenix Children'S Hospital — 430 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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