Active NPI
Shamel Amin, M.D.
- Pediatric Gastroenterology Physician
- Mt Pleasant, MI
National Provider Identifier
1104289743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 4301119326
- Practice address
- 2790 Health Pkwy
Mt Pleasant, MI 48858-6934 - Phone
- (989) 779-5270
- Fax
- (989) 779-5279
- NPI assigned
- Mar 31, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | 4301119326 | MI | Primary |
Addresses
Primary practice location
2790 Health Pkwy
Mt Pleasant, MI 48858-6934
Mailing address
2790 Health Pkwy
Mt Pleasant, MI 48858-6934
Phone (989) 779-5270
Other practice location 1
720 W Wackerly St Ste 9
Midland, MI 48640-2769
Phone (989) 423-0607
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220613000248 | MI | Practitioner - Pediatric Medicine | 8123351921 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301119326 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Isabella Citizens for Health, Inc. | Current | Accepting new patients | |
| Isabella Citizens for Health Inc | Current | Accepting new patients | |
| Isabella Citizens for Health Inc | Current | Accepting new patients | |
| McLaren Central Michigan | Past | Accepting new patients |
Locations
2790 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 779-5270
1201 South Dr
Ste 220
Mt Pleasant, MI 48858
Phone (989) 773-3411
Interoperability endpoints
- samin791461@direct.hfhs.org
- shamel.amin.p1@direct.isabellahealth.nextgenshare.com
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Mt Pleasant, MI
- NPI 1104177195
MI
-
- Federally Qualified Health Center (FQHC)
- Farwell, MI
- NPI 1548090491
-
- Community/Retail Pharmacy
- Mt Pleasant, MI
- NPI 1942842471
-
- Rural Acute Care Hospital
- Mt Pleasant, MI
- NPI 1619941317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1104289743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2790 HEALTH PKWY",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "488586934",
"telephone_number": "989-779-5270",
"fax_number": "989-779-5279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2790 HEALTH PKWY",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "488586934",
"telephone_number": "989-779-5270",
"fax_number": "989-779-5279"
}
],
"practiceLocations": [
{
"address_1": "720 W Wackerly St Ste 9",
"address_purpose": "LOCATION",
"city": "Midland",
"state": "MI",
"postal_code": "486402769",
"country_code": "US",
"telephone_number": "989-423-0607",
"fax_number": "989-423-0608",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMIN",
"first_name": "SHAMEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-31",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "MI",
"license": "4301119326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mt Pleasant, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.