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Jesika Shah, MD
NPI 1508076555 · Pediatrics Physician · Kenosha, WI
Jesika Shah, MD is a Pediatrics Physician provider in Kenosha, WI (NPI 1508076555).
Provider details
- NPI number
- 1508076555
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 70515-20 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
6809 122nd Ave
Kenosha, WI 53142-7335
Phone: (262) 654-8633
Fax: (262) 654-5467
Street-level locationGet directions
Mailing address
9000 W Wisconsin Ave # Ms 958
Milwaukee, WI 53226-4874
Registry dates
- Enumerated
- 2007-05-22
- Last updated
- 2019-06-12
Frequently asked questions
- What is Jesika Shah's NPI number?
- Jesika Shah's National Provider Identifier (NPI) is 1508076555, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jesika Shah's specialty?
- Jesika Shah is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Jesika Shah located?
- Jesika Shah's practice location on file with NPPES is 6809 122nd Ave, Kenosha, WI 53142-7335.
- What is Jesika Shah's phone number?
- The practice phone number listed in the NPPES registry for Jesika Shah is (262) 654-8633.
- Is Jesika Shah's NPI active?
- Yes — Jesika Shah's NPI (1508076555) is active in the NPPES registry as of the last update on 2019-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.