NPIMap

Individual provider Active NPI

Daniel Shelden, DO

  • Endocrinology, Diabetes & Metabolism Physician
  • Saint Clair Shores, MI
National Provider Identifier
1033524764
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
5101021375 Issued in MI
Practice address
23715 Little Mack Ave Ste 100
Saint Clair Shores, MI 48080-1181
Phone
(586) 447-8021
Fax
(586) 447-8022
NPI assigned
Jun 20, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101021375 MI
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 5101021375 MI Primary

Addresses

Primary practice location

23715 Little Mack Ave Ste 100
Saint Clair Shores, MI 48080-1181

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other practice location 1

17412 W 13 Mile Rd
Beverly Hills, MI 48025-5439
Phone (248) 258-8740

Other practice location 2

1555 South Blvd E Ste 360
Rochester Hills, MI 48307-5759
Phone (248) 258-8740

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dshelden1709536@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170711000859 MI Practitioner - Internal Medicine 2769607605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

17400 W 13 Mile Rd
Beaumont Urogynecology Flagstar
Beverly Hills, MI 48025-5439
Phone (248) 712-4120

17412 W 13 Mile Rd
Beaumont Endocrin Ctr Beverly Hills
Beverly Hills, MI 48025-5439
Phone (248) 258-8740

28100 Grand River Ave
Farmington Hills, MI 48336-5970

29355 Northwestern Hwy 210
Beaumont Int Med Subspecialists Ro
Southfield, MI 48034-1045
Phone (248) 551-1515

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

3601 W 13 Mile Rd Ec
Beaumont Emergency Services Ro
Royal Oak, MI 48073-6712
Phone (248) 898-5058

468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone (313) 473-1705

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.37 of 100Reported as group
Quality
66.73
Promoting interoperability
100
Improvement activities
40
Cost
70.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Medical Group- Specialty Services CurrentSince Aug 12, 2020 Accepting new patients
William Beaumont Hospital Past Accepting new patients

Locations

17412 W 13 Mile Rd
Beverly Hills, MI 48025
Phone (248) 258-8740

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

1555 South Blvd E
Ste 360
Rochester Hills, MI 48307
Phone (248) 258-8740

3601 W 13 Mile Rd
Royal Oak, MI 48073

3535 W 13 Mile Rd
Royal Oak, MI 48073
Phone (248) 551-1010

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

23715 Little Mack Ave
Ste 100
St Clr Shores, MI 48080
Phone (586) 447-8021

Interoperability endpoints

  • Direct secure messaging: dshelden1709536@direct.beaumont.edu

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1033524764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23715 LITTLE MACK AVE STE 100",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801181",
            "telephone_number": "586-447-8021",
            "fax_number": "586-447-8022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17412 W 13 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "MI",
            "postal_code": "480255439",
            "country_code": "US",
            "telephone_number": "248-258-8740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1555 South Blvd E Ste 360",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483075759",
            "country_code": "US",
            "telephone_number": "248-258-8740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELDEN",
        "first_name": "DANIEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-20",
        "last_updated": "2023-01-26",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101021375",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MI",
            "license": "5101021375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dshelden1709536@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "23715 Little Mack Ave Ste 100",
            "city": "Saint Clair Shores",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480801181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.