Individual provider Active NPI

Shamel Amin, M.D.

  • Pediatric Gastroenterology Physician
  • Mt Pleasant, MI
National Provider Identifier
1104289743
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
4301119326 Issued in MI
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

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
4301119326MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Isabella Citizens for Health, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Isabella Citizens for Health Inc Current Accepting new patients
Isabella Citizens for Health Inc CurrentSince Jul 1, 2022 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

  • Direct secure messaging: samin791461@direct.hfhs.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.