Mark A. Shaman, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

4301072271 Issued in MI

Practice address

1535 Gull Rd
Suite 200
Kalamazoo, MI 49048-1650

Phone

(269) 388-6350

Fax

(269) 388-4738

NPI assigned

May 20, 2006

Last updated

Jun 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI, FL2 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

Specialty

Diagnostic Radiology

Education

Wayne State University School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ascension Borgess HospitalGroup PAC ID 5294645750, shared by 7 NPIs, 41 clinicians

Hillsdale Community Health CenterGroup PAC ID 7214846260, 66 clinicians

Ascension Borgess Lee HospitalGroup PAC ID 7719881002, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Borgess Medical Center Hospital, Kalamazoo, MI, CCN 230117
• Hillsdale Hospital Hospital, Hillsdale, MI, CCN 230037
• Ascension Borgess Lee Hospital Hospital, Dowagiac, MI, CCN 231315
• Bronson Methodist Hospital Hospital, Kalamazoo, MI, CCN 230017
• Oaklawn Hospital Hospital, Marshall, MI, CCN 230217

Merit-based Incentive Payment System (MIPS)

Final score

74.32 of 100Reported as group

Quality

41.6

Promoting interoperability

95

Improvement activities

40

Cost

76.98

Merit-based Incentive Payment System (MIPS)

Final score

78.06 of 100Reported as group

Quality

72.79

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Beacon Dowagiac, Inc

  • Critical Access Hospital
  • Dowagiac, MI
  • NPI 1194771030
  Medicare reassignment Care Compare group NPD
• Hillsdale Community Health Center

  dba Hillsdale Hospital

  • General Acute Care Hospital
  • Hillsdale, MI
  • NPI 1730115940
  Medicare reassignment Care Compare group NPD
• Beacon Allegan, Inc

  • Critical Access Hospital
  • Allegan, MI
  • NPI 1295803377
  Medicare reassignment NPD
• Beacon Allegan, Inc

  • Hospitalist Physician
  • Allegan, MI
  • NPI 1992668925

  Diagnostic Radiology

  Medicare reassignment NPD
• Beacon Kalamazoo Inc

  • Diagnostic Radiology Physician
  • Kalamazoo, MI
  • NPI 1518753441
  Medicare reassignment NPD
• Beacon Kalamazoo Inc

  • General Acute Care Hospital
  • Kalamazoo, MI
  • NPI 1568416311
  Medicare reassignment NPD
• Baptist Outpatient Services Inc

  • Diagnostic Radiology Physician
  • Miami, FL
  • NPI 1437127529

  Body Imaging

  Medicare reassignment NPD
• Beacon Medical Group Michigan Inc

  • Family Medicine Physician
  • Portage, MI
  • NPI 1497709869
  Medicare reassignment
• Mori Bean and Brooks Inc

  dba Coastal Vein Vascular Institute

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1093782070

  MI

  Medicare reassignment
• Ascension Borgess Hospital

  • Cardiovascular Disease Physician
  • Kalamazoo, MI
  • NPI 1306976204
  NPD
• Beacon Dowagiac, Inc

  • Hospitalist Physician
  • Dowagiac, MI
  • NPI 1467315499

  Diagnostic Radiology

  NPD
• Hillsdale Community Health Center

  • Rural Health Clinic/Center
  • Reading, MI
  • NPI 1053472522
  NPD

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

• Beacon Dowagiac, Inc

  • Critical Access Hospital
  • Dowagiac, MI
  • NPI 1194771030
  Care Compare affiliation
• Beacon Kalamazoo Inc

  • General Acute Care Hospital
  • Kalamazoo, MI
  • NPI 1568416311
  Care Compare affiliation
• Bronson Methodist Hospital

  • General Acute Care Hospital
  • Kalamazoo, MI
  • NPI 1831116441
  Care Compare affiliation
• Ella E. M. Brown Charitable Circle

  dba Oaklawn Hospital

  • General Acute Care Hospital
  • Marshall, MI
  • NPI 1861475360
  Care Compare affiliation
• Hillsdale Community Health Center

  dba Hillsdale Hospital

  • General Acute Care Hospital
  • Hillsdale, MI
  • NPI 1730115940
  Care Compare affiliation

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1265486500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 GULL RD",
            "address_2": "SUITE 200",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481650",
            "telephone_number": "269-388-6350",
            "fax_number": "269-388-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 GULL RD",
            "address_2": "SUITE 200",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481650",
            "telephone_number": "269-388-6350",
            "fax_number": "269-388-4738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8900 N Kendall Dr",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331762118",
            "country_code": "US",
            "telephone_number": "786-596-1272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAMAN",
        "first_name": "MARK",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301072271",
            "primary": true
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "MI",
            "license": "4301072271",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME162110",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MI",
            "license": "4301072271",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4840250",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4604969",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanvi Kamdar Shah
• Tom G Shahwan, M.D.
• Ramsha Shakeel, MD
• Aisha Shakoor, M.D.
• Hesamaddin Shakourianfard, MD
• Janice Shanlian, PTA
• Ely Shapiro, M.D.
• Patricia A. Shapton, LMSW
• Joan Sharda, M.D.
• Gholamreza Shareghi, MD

• Diagnostic Radiology Physician in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Diagnostic Radiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.