Active NPI
Shaan Shahzad Manawar, MD
- Orthopaedic Trauma Physician
- Kalamazoo, MI
National Provider Identifier
1306411657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Trauma Physician
- License
- A207137
- Practice address
- 1000 Oakland Dr
Kalamazoo, MI 49008-1282 - Phone
- (269) 337-4600
- NPI assigned
- May 20, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Trauma Physician | 207XX0801X | A207137 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 4351048522 | MI |
Addresses
Primary practice location
1000 Oakland Dr
Kalamazoo, MI 49008-1282
Mailing address
1200 N State St
CT 2B300
Los Angeles, CA 90089-1001
Phone (323) 409-4040
Other practice location 1
1500 San Pablo St
Los Angeles, CA 90033-5313
Phone (800) 872-2273
Other practice location 2
1200 N State St
Los Angeles, CA 90089-1001
Phone (323) 226-2622
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 |
|---|---|---|---|---|
| I20210714001464 | MI | Order and Referring Only - Orthopedic Surgery | 5395147219 |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Western Michigan Un Homer Stryker School of Med, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1000 Oakland Dr
Kalamazoo, MI 49008-1282
215 N Marengo Ave
Suite 201
Pasadena, CA 91101-1532
PO Box
Suite 50938
Los Angeles, CA 90074
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781913600000",
"number": "1306411657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N STATE ST",
"address_2": "CT 2B300",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900891001",
"telephone_number": "323-409-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 OAKLAND DR",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490081282",
"telephone_number": "269-337-4600"
}
],
"practiceLocations": [
{
"address_1": "1500 San Pablo St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900335313",
"country_code": "US",
"telephone_number": "800-872-2273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 N State St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900891001",
"country_code": "US",
"telephone_number": "323-226-2622",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANAWAR",
"first_name": "SHAAN",
"middle_name": "SHAHZAD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-20",
"last_updated": "2026-06-20",
"certification_date": "2026-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "CA",
"license": "A207137",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "4351048522",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.
- 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.