Shapoor Shalilvand Ansari, M D

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

4301032566 Issued in MI

Practice address

2590 N Monroe St
Monroe, MI 48162-4206

Phone

(734) 243-4000

NPI assigned

Jan 18, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Right at Home of Southeastern Michigan, Inc.

  • Home Health Agency
  • Monroe, MI
  • NPI 1164829008
  NPD
• At Home Physicians, PC

  • Community Health Worker
  • Southfield, MI
  • NPI 1154628204
  NPD (past)
• Gregory Haines MD LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Taylor, MI
  • NPI 1770760175
  NPD (past)

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1235315342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2590 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624206",
            "telephone_number": "734-243-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2590 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624206",
            "telephone_number": "734-243-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSARI",
        "first_name": "SHAPOOR",
        "middle_name": "SHALILVAND",
        "name_prefix": "Dr.",
        "credential": "M D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-18",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "C52630",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MI",
            "license": "4301032566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea R Rinker DPM PC
• Chris Andreae
• Lindsay Andrews
• Anesthesia Professional Services PC
• Christopher T Angel, CPSS
• Stephanie M Anselmi, PA-C
• Rawan Mohamad Antar
• Anthony B Songco MD PC
• Monone Margaret Antonelli, OTR
• Anupama Shah MD, PLC

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Monroe, MI
• Providers in Monroe, MI by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.