Individual provider Active NPI

Alicia Michelle Shelby, M.D.

  • Emergency Medicine Physician
  • Detroit, MI
National Provider Identifier
1194014043
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301116316 Issued in MI
Practice address
17400 Wisconsin St
Detroit, MI 48221-2585
Phone
(330) 344-6000
NPI assigned
Mar 31, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MI
Emergency Medicine Physician 207P00000X 4301116316 MI Primary
Emergency Medicine Physician 207P00000X 35.125727 OH

Addresses

Primary practice location

17400 Wisconsin St
Detroit, MI 48221-2585

Mailing address

PO Box 1474
Novi, MI 48376-1474

Other practice location 1

44 Blaine Ave
Bedford, OH 44146-2709
Phone (440) 735-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150522001726 OH Practitioner - Emergency Medicine 9638318058 Reassigns benefits to 4 organizations
I20251104000441 MI Practitioner - Emergency Medicine 9638318058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Wayne State University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Emergency Care Services IncGroup PAC ID 9436475795, 64 clinicians

Practice addresses (Care Compare)

3404 W Sylvania Ave
Toledo, OH 43623-4467
Phone (419) 407-2663

Hospital & facility affiliations

  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301116316MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of Michigan PC CurrentSince Oct 29, 2025 Accepting new patients
American Current Care of Michigan PC Current Accepting new patients
Ues Ahuja LLC Emergency Medicine CurrentSince Apr 15, 2015 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Nov 1, 2025 Accepting new patients
Signify Health, LLC CurrentSince Dec 1, 2025 Accepting new patients
Magis Emergency Medicine LLC Emergency Medicine CurrentSince May 5, 2015 Accepting new patients
Mercy Emergency Care Services, Inc. Emergency Medicine CurrentSince Oct 1, 2018 Accepting new patients

Locations

436 44th St SE
Ste A
Kentwood, MI 49548
Phone (616) 531-9750

42875 Grand River Ave
Ste 101
Novi, MI 48375
Phone (248) 478-1616

11569 E 12 Mile Rd
Warren, MI 48093
Phone (586) 582-0018

13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620

5901 E Royalton Rd
Broadview Heights, OH 44147
Phone (440) 792-9005

3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000

3404 W Sylvania Ave
Toledo, OH 43623
Phone (419) 407-1422

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 7

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 1

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": "1301529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1194014043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1474",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483761474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17400 WISCONSIN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212585",
            "telephone_number": "330-344-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 Blaine Ave",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "OH",
            "postal_code": "441462709",
            "country_code": "US",
            "telephone_number": "440-735-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELBY",
        "first_name": "ALICIA",
        "middle_name": "MICHELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-31",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301116316",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.125727",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.