SHIRIN YUSUBOV MD
NPI 1396360848
Anesthesiology in Grafton, WI
NPI Status: Active since June 10, 2020
Contact Information
975 PORT WASHINGTON RD
GRAFTON, WI
ZIP 53024
Phone: (262) 329-1000
- Individual
- Male
- Anesthesiology
- PECOS Enrolled
About SHIRIN YUSUBOV
This page provides the complete NPI Profile along with additional information for Shirin Yusubov, an anesthesiologist established in Grafton, Wisconsin with a medical specialization in Anesthesiology. The healthcare provider is registered in the NPI registry with number 1396360848 assigned on June 2020. The practitioner's primary taxonomy code is 207L00000X with license number 84720 (WI). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1396360848
- Provider Name
- SHIRIN YUSUBOV MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 975 PORT WASHINGTON RD GRAFTON, WI 53024
- Location Phone
- (262) 329-1000
- Mailing Address
- PO BOX 735044 CHICAGO, IL 60673
- Mailing Phone
- (800) 326-2250
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-10-2020
- Last Update Date
- 11-27-2024
- Code Navigator
An anesthesiologist like Shirin Yusubov manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.
Location Map
Secondary Locations
- 50 N Perry St
Pontiac, MI 48342
(248) 338-5392
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Anesthesiology
- Taxonomy Code
- 207L00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 84720
- License State
- WI
- Taxonomy Description
- An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | 4301507357 (MI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100291328 | MEDICAID (05) | WI |
Medicare Participation & PECOS Enrollment Status
Shirin Yusubov is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 9 | 6 | 3 | 6 | 0 | 8 | 4 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 18 | 6 | 6 | 6 | 0 | 8 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 8 + 6 + 6 + 6 + 0 + 8 + 8 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1396360848 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1942276613 | MR. MUHAMMED R AL-FAWAKHIRI MD Individual | Internal Medicine | 975 PORT WASHINGTON RD GRAFTON, WI 53024 (262) 329-3450 |
| 1205984945 | DR. FARAH HAMDARD M.D. Individual | Hospitalist | 975 PORT WASHINGTON RD GRAFTON, WI 53024 (414) 328-7256 |
| 1285987628 | DR. JASON R GUNDRUM PHARMD. Individual | Pharmacist | 975 PORT WASHINGTON RD GRAFTON, WI 53024 (262) 329-1600 |
| 1366415473 | DR. PAUL M GUZZETTA MD Individual | Internal Medicine (Pulmonary Disease) | 975 PORT WASHINGTON RD CRITICAL CARE MEDICINE GRAFTON, WI 53024 (262) 329-1000 |
| 1164631289 | MRS. LAUREN MONTICELLI MSPT Individual | Physical Therapist | 975 PORT WASHINGTON RD GRAFTON, WI 53024 (262) 329-2700 |
| 1154404721 | ROSE M DOTSON MD Individual | Psychiatry & Neurology (Neurology) | 975 PORT WASHINGTON RD SUITE 320 GRAFTON, WI 53024 (262) 329-8100 |
| 1427185339 | MRS. SHERI LYNN HABERKORN MASTERS Individual | Physical Therapist (Orthopedic) | 975 PORT WASHINGTON RD GRAFTON, WI 53024 (262) 329-2700 |
| 1649521345 | MRS. NICOLE WHITE NP Individual | Nurse Practitioner | 975 PORT WASHINGTON RD SUITE 320 GRAFTON, WI 53024 (262) 329-8100 |
| 1811332612 | BROOK HOLMES PT, DPT, OCS Individual | Physical Therapist (Orthopedic) | 975 PORT WASHINGTON RD SUITE 210 GRAFTON, WI 53024 (262) 329-2700 |
| 1073958526 | CHRISTOPHER DAVID POTTER DPT Individual | Physical Therapist | 975 PORT WASHINGTON RD GRAFTON, WI 53024 (262) 329-2700 |
| 1316383128 | KELLY ELIZABETH SCHNEIDER DPT Individual | Physical Therapist | 975 PORT WASHINGTON RD GRAFTON, WI 53024 (262) 329-2700 |
| 1740696210 | ADAM GROOSE M.S., LAT, PES Individual | Specialist/Technologist (Athletic Trainer) | 975 PORT WASHINGTON RD GRAFTON, WI 53024 (262) 329-2700 |
| 1518916477 | JULE N WETHERBEE M.D. Individual | Internal Medicine (Clinical Cardiac Electrophysiology) | 975 PORT WASHINGTON RD SUITE 310 GRAFTON, WI 53024 (414) 247-4667 |
| 1154735512 | LAURA MCFARLANE Individual | Genetic Counselor, MS | 975 PORT WASHINGTON RD SUITE 420 GRAFTON, WI 53024 (262) 329-8622 |
| 1528425790 | MEGAN POTTER DPT Individual | Physical Therapist | 975 PORT WASHINGTON RD GRAFTON, WI 53024 (262) 329-2700 |
| 1750748810 | GINA GRADY Individual | Physical Therapist | 975 PORT WASHINGTON RD GRAFTON, WI 53024 (262) 329-2700 |
| 1518156231 | MICHELE L MUELLER OT Individual | Occupational Therapist | 975 PORT WASHINGTON RD GRAFTON, WI 53024 (262) 329-2700 |
| 1679918171 | MR. NEAL PHILIP SCIBELLI DPT Individual | Physical Therapist (Orthopedic) | 975 PORT WASHINGTON RD GRAFTON, WI 53024 (262) 329-2743 |
| 1205380656 | TAYLOR HOLMES Individual | Physical Therapist | 975 PORT WASHINGTON RD GRAFTON, WI 53024 (262) 329-4885 |
| 1649210287 | PAULA G JONES MD Individual | Internal Medicine (Infectious Disease) | 975 PORT WASHINGTON RD GRAFTON, WI 53024 (262) 329-8600 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396360848, enumerated in the NPI registry as an "individual" on June 10, 2020
The provider is located at 975 Port Washington Rd Grafton, Wi 53024 and the phone number is (262) 329-1000
The provider's speciality is Anesthesiology with taxonomy code 207L00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on June 10, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.