Organization Active NPI

Ashwin H Shah MD PC

  • Urology Physician
  • Monroe, MI
National Provider Identifier
1407995822
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
4301043074 Issued in MI
Legal business name
ASHWIN H SHAH MD PC
Practice address
718 N Macomb St
Monroe, MI 48162-7815
Phone
(614) 500-4373
Fax
(614) 794-5155
NPI assigned
Feb 5, 2007
Last updated
May 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Authorized official

Name
Ashwin H Shah, MD PCNPI 1710983812
Title
Urologist
Phone
(734) 241-3900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 4301043074 MI Primary

Addresses

Primary practice location

718 N Macomb St
Monroe, MI 48162-7815

Mailing address

360 Santure St
Monroe, MI 48162-4128
Phone (734) 241-3900

Other practice location 1

360 Santure St
Monroe, MI 48162-4128
Phone (614) 500-4373

Other identifiers 5

IdentifierTypeStateIssuer
0514942OtherOHPALMETTO GBA OHIO CLAIMS
02011OtherMIPARAMOUNT
104595322MedicaidMI
3405810232OtherMIBLUE CROSS BLUE SHIELD
DB5596OtherPALMETTO GBA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040625000484 MI Part B Supplier - Clinic/Group Practice 3476539966 Receives reassigned benefits from 1 practitioner
Practice locations: Monroe, MI

National Provider Directory

National Provider Directory

Locations

1051 S Telegraph Rd
Ste 110
Monroe, MI 48161
Phone (734) 244-5383

2275 W Jefferson Ave
Trenton, MI 48183
Phone (734) 675-7210

5452 Fort St
Ste 100
Trenton, MI 48183
Phone (734) 479-7060

5500 Fort St
Trenton, MI 48183
Phone (734) 287-3000

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc35511_ashwinshahmd

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1407995822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SANTURE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624128",
            "telephone_number": "734-241-3900",
            "fax_number": "734-241-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 N MACOMB ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481627815",
            "telephone_number": "614-500-4373",
            "fax_number": "614-794-5155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Santure St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "MI",
            "postal_code": "481624128",
            "country_code": "US",
            "telephone_number": "614-500-4373",
            "fax_number": "614-794-5155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASHWIN H SHAH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "ASHWIN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "UROLOGIST",
        "authorized_official_telephone_number": "734-241-3900",
        "authorized_official_credential": "MD PC"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "4301043074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA OHIO CLAIMS",
            "identifier": "0514942",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "02011",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104595322",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3405810232",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "DB5596",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.