Individual provider Active NPI

Nilar Shein, M.D.

  • Neurology Physician
  • Kingsford, MI
National Provider Identifier
1477548311
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
4301065436 Issued in MI
Practice address
1205 Pyle Dr
Kingsford, MI 49802-1132
Phone
(906) 779-7100
Fax
(906) 779-7101
NPI assigned
Sep 16, 2005
Reactivated
Apr 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 4301065436 MI Primary

Addresses

Primary practice location

1205 Pyle Dr
Kingsford, MI 49802-1132

Mailing address

1205 Pyle Dr
Kingsford, MI 49802-1132
Phone (906) 779-7100

Other identifiers 1

IdentifierTypeStateIssuer
32635300MedicaidMI

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
I20040624000723 MI Practitioner - NeurologyPractitioner - Ophthalmology 2365432465

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": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477548311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 PYLE DR",
            "city": "KINGSFORD",
            "state": "MI",
            "postal_code": "498021132",
            "telephone_number": "906-779-7100",
            "fax_number": "906-779-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 PYLE DR",
            "city": "KINGSFORD",
            "state": "MI",
            "postal_code": "498021132",
            "telephone_number": "906-779-7100",
            "fax_number": "906-779-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEIN",
        "first_name": "NILAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-16",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-04-03",
        "reactivation_date": "2006-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301065436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32635300",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsford, MI

Sources for this page

Verify at the official NPI Registry.