Individual provider Active NPI

Sushruth Shenava, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Flint, MI
National Provider Identifier
1457640708
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
4301098087 Issued in MI
Practice address
4800 S Saginaw St
Suite 1800
Flint, MI 48507
Phone
(810) 732-8336
NPI assigned
Apr 6, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4301098087 MI
Addiction Medicine (Anesthesiology) Physician 207LA0401X 4301098087 MI
Physical Medicine & Rehabilitation Physician 208100000X 4301098087 MI
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 4301098087 MI
Pain Medicine (Anesthesiology) Physician 207LP2900X 4301098087 MI Primary

Addresses

Primary practice location

4800 S Saginaw St
Suite 1800
Flint, MI 48507

Mailing address

4800 S Saginaw St
Suite 1800
Flint, MI 48507-2677
Phone (810) 732-8336

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
I20160421000098 MI Practitioner - Anesthesiology 3779716980 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jawad a Shah MD PCGroup PAC ID 5799779633, shared by 3 NPIs, 89 clinicians

Practice addresses (Care Compare)

4800 S Saginaw St
Flint, MI 48507-2677
Phone 8102759333116

Hospital & facility affiliations

  • Southeast Michigan Surgical Hospital LLC Hospital, Warren, MI, CCN 230264
  • Insight Hospital and Medical Center Coldwater Hospital, Coldwater, MI, CCN 230022
  • University of Michigan Health System Hospital, Ann Arbor, MI, CCN 230046
  • McLaren Flint Hospital, Flint, MI, CCN 230141

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301098087MIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Anesthesia PLLC CurrentSince Mar 8, 2016 Accepting new patients
Jawad a Shah MD PC Pain Medicine CurrentSince Jul 1, 2022 Accepting new patients
Jawad a Shah, MD PC Pain Medicine CurrentSince Mar 8, 2016 Accepting new patients
Mid-Michigan Pain Management Center, PLC CurrentSince Jan 6, 2020 Accepting new patients
Insight Anesthesia PLLC Anesthesiology CurrentSince Aug 27, 2020 Accepting new patients
Jawad a Shah MD PC CurrentSince Mar 8, 2016 Accepting new patients

Locations

4800 S Saginaw St
Flint, MI 48507
Phone (810) 275-9108

4800 S Saginaw St
Ste 1805
Flint, MI 48507
Phone (810) 275-9108

4800 S Saginaw St
Ste 1815
Flint, MI 48507
Phone (810) 275-9152

4800 S Saginaw St
Ste 1845
Flint, MI 48507
Phone (810) 275-9152

1230 S Linden Rd
Ste 4
Flint, MI 48532
Phone (810) 732-7077

4800 S Saginaw St
Ste 1840
Flint, MI 48507
Phone (810) 732-8336

4800 S Saginaw St
Ste 1800
Flint, MI 48507
Phone (810) 732-8336

21230 Dequindre Rd
Warren, MI 48091
Phone (586) 427-1000

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1457640708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 S SAGINAW ST",
            "address_2": "SUITE 1800",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072677",
            "telephone_number": "810-732-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 S SAGINAW ST",
            "address_2": "SUITE 1800",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48507",
            "telephone_number": "810-732-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENAVA",
        "first_name": "SUSHRUTH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-06",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301098087",
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "MI",
            "license": "4301098087",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301098087",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MI",
            "license": "4301098087",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MI",
            "license": "4301098087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.