Individual provider Active NPI

Shane Sampson, MD

  • Student in an Organized Health Care Education/Training Program
  • Detroit, MI
National Provider Identifier
1306532734
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
4201 Saint Antoine, Ste.
8C-Uhc
Detroit, MI 48201
Phone
(313) 745-1302
NPI assigned
Apr 18, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 4301514609 MI
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

4201 Saint Antoine, Ste.
8C-Uhc
Detroit, MI 48201

Mailing address

3990 John R St
Detroit, MI 48201-2018
Phone (313) 745-6035

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
I20250620002943 MI Practitioner - Neurology 4486011566 Reassigns benefits to 16 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roseville Urgent Care PCGroup PAC ID 8921281361, 21 clinicians
Hoover Urgent Care of Warren PLLCGroup PAC ID 6204073752, 38 clinicians
Get Well Urgent Care Madison Heights PLCGroup PAC ID 1052670882, 22 clinicians

Practice addresses (Care Compare)

20769 E 13 Mile Rd
Roseville, MI 48066-4503
Phone (586) 872-2288

26000 Hoover Rd
Warren, MI 48089-1167
Phone (586) 722-0707

350 E 12 Mile Rd
Madison Heights, MI 48071-2531
Phone (248) 206-3797

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Get Well Urgent Care Detroit, PLC CurrentSince Jun 16, 2025 Accepting new patients
Harper Woods Urgent Care and Medical Center PLLC CurrentSince Jun 16, 2025 Accepting new patients
Oak Park Urgent Care PLLC CurrentSince Jun 16, 2025 Accepting new patients
Get Well Urgent Care Dearborn Heights PLC CurrentSince Jun 16, 2025 Accepting new patients
Hoover Urgent Care of Warren PLLC CurrentSince Jun 16, 2025 Accepting new patients
Get Well Urgent Care Downriver PLC CurrentSince Jun 16, 2025 Accepting new patients
Get Well Urgent Care Madison Heights PLC CurrentSince Jun 16, 2025 Accepting new patients
Get Well Urgent Care Southgate PLC CurrentSince Jun 16, 2025 Accepting new patients
Get Well Urgent Care Taylor PLC CurrentSince Jun 16, 2025 Accepting new patients
Get Well Urgent Care Dearborn PLC CurrentSince Jun 16, 2025 Accepting new patients
Get Well Urgent Care Harper Woods PLC CurrentSince Jun 16, 2025 Accepting new patients
Southfield City Urgent Care PC CurrentSince Jun 16, 2025 Accepting new patients
Get Well Urgent Care Sterling Heights PLC CurrentSince Jun 16, 2025 Accepting new patients
Get Well Urgent Care Pontiac PLC CurrentSince Jun 16, 2025 Accepting new patients
Get Well Urgent Care Shelby PLC CurrentSince Jun 16, 2025 Accepting new patients
Roseville Urgent Care, PC CurrentSince Jun 16, 2025 Accepting new patients
Get Well Urgent Care Macomb PLC CurrentSince Jun 16, 2025 Accepting new patients
Garg and Associates Inc Past Accepting new patients

Locations

15945 19 Mile Rd
Ste 102
Clinton Twp, MI 48038
Phone (586) 413-9100

13244 W Warren Ave
Dearborn, MI 48126
Phone (313) 380-1200

24950 W Warren St
Dearborn Heights, MI 48127
Phone (313) 595-2000

19335 Grand River Ave
Detroit, MI 48223
Phone (313) 794-8780

19959 Vernier Rd
Ste 400
Harper Woods, MI 48225
Phone (313) 499-1951

1770 Fort St
Lincoln Park, MI 48146
Phone (313) 406-4413

350 E 12 Mile Rd
Madison Hts, MI 48071
Phone (248) 206-3797

24661 Coolidge Hwy
Oak Park, MI 48237
Phone (248) 398-4000

20769 E 13 Mile Rd
Roseville, MI 48066
Phone (586) 294-7070

13467 23 Mile Rd
Shelby Township, MI 48315
Phone (248) 267-5040

23832 Southfield Rd
Southfield, MI 48075
Phone (248) 443-8089

15830 Fort St
Southgate, MI 48195
Phone (734) 282-5444

2567 Metropolitan Pkwy
Sterling Hts, MI 48310
Phone (586) 574-0000

20202 Eureka Rd
Taylor, MI 48180
Phone (734) 589-1300

26000 Hoover Rd
Warren, MI 48089
Phone (586) 722-0707

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9626/brand/1/csg/1/fhir/r4

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1306532734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 JOHN R ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012018",
            "telephone_number": "313-745-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE, STE.",
            "address_2": "8C-UHC",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48201",
            "telephone_number": "313-745-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "SHANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-18",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301514609",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.