Shalom Medical Inc
NPI 1417318635 · Infectious Disease Physician · De Pere, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shalom Medical Inc is a Infectious Disease Physician organization in De Pere, WI (NPI 1417318635).
Provider details
- NPI number
- 1417318635
- Entity type
- Organization
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Adetujni Adejumo, Owner(718) 530-8357
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-03-15
- Last updated
- 2016-03-15
Frequently asked questions
- What is Shalom Medical Inc's NPI number?
- Shalom Medical Inc's National Provider Identifier (NPI) is 1417318635, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shalom Medical Inc?
- Shalom Medical Inc is classified in the NPPES registry as Infectious Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Shalom Medical Inc located?
- Shalom Medical Inc's practice location on file with NPPES is 977 Green Ridge Dr, De Pere, WI 54115-7656.
- What is Shalom Medical Inc's phone number?
- The practice phone number listed in the NPPES registry for Shalom Medical Inc is (718) 530-8357.
- Does Shalom Medical Inc accept Medicare?
- Shalom Medical Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Shalom Medical Inc?
- The authorized official listed on Shalom Medical Inc's NPPES record is Adetujni Adejumo, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shalom Medical Inc's NPI active?
- Yes — Shalom Medical Inc's NPI (1417318635) is active in the NPPES registry as of the last update on 2016-03-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.