Individual provider Active NPI

Shivani Shah-Becker, M.D.

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Ann Arbor, MI
National Provider Identifier
1508108689
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
4301506359 Issued in MI
Practice address
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone
(734) 936-4000
NPI assigned
Mar 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X D85449 MD
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X 4301506359 MI Primary

Addresses

Primary practice location

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000

Mailing address

3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299

Other practice location 1

6565 N Charles St Ste 601
Baltimore, MD 21204
Phone (410) 821-5151

Other practice location 2

500 University Dr
MC H091
Hershey, PA 17033-2360
Phone (717) 531-8945

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
I20230919001319 MI Practitioner - Otolaryngology 8123309432 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Michigan State University College of Human Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Ear Nose Throat and Allergy Specialists PCGroup PAC ID 4183868094, 42 clinicians

Practice addresses (Care Compare)

739 E Beltline Ave NE
Grand Rapids, MI 49525-6001
Phone (616) 994-2770

Hospital & facility affiliations

  • Spectrum Health Hospital, Grand Rapids, MI, CCN 230038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301506359MIMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Michigan Current Accepting new patients
Regents of the University of Michigan Otolaryngology CurrentSince Sep 12, 2023 Accepting new patients
Regents of the University of Michigan CurrentSince Sep 12, 2023 Accepting new patients
Michigan Ear, Nose, Throat, and Allergy Specialists, PC Plastic Surgery Within the Head & Neck CurrentSince Sep 30, 2024 Accepting new patients
West Michigan Surgical Center, LLC Past Accepting new patients

Locations

516 Linn St
Allegan, MI 49010
Phone (269) 673-5200

1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280

3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

6470 Cherry Meadow Dr SE
Caledonia, MI 49316

17168 Timber View Dr
Grand Haven, MI 49417
Phone (616) 414-3088

739 E Beltline Ave NE
Grand Rapids, MI 49525
Phone (616) 949-3667

1425 Michigan St NE
Ste A
Grand Rapids, MI 49503
Phone (616) 233-0933

3501 Rivertown Point Ct SW
Grandville, MI 49418
Phone (616) 396-1433

1005 W Green St
Ste 305
Hastings, MI 49058
Phone (616) 267-7400

3100 N Wellness Dr
Holland, MI 49424
Phone (616) 396-1433

1555 44th St SW
Wyoming, MI 49509
Phone (616) 249-8000

8300 Logistics Dr
Zeeland, MI 49464
Phone (616) 748-0630

Interoperability endpoints

  • Direct secure messaging: sshahbecker3518074@direct.trinity-health.org
  • Direct secure messaging: sshahbecker2898221@epic00.corewelldirect.org

Organizations & group practices 5

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 2

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": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1508108689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081633",
            "telephone_number": "734-647-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095000",
            "telephone_number": "734-936-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6565 N Charles St Ste 601",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21204",
            "country_code": "US",
            "telephone_number": "410-821-5151",
            "fax_number": "410-823-8309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 University Dr",
            "address_2": "MC H091",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332360",
            "country_code": "US",
            "telephone_number": "717-531-8945",
            "fax_number": "717-531-6160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH-BECKER",
        "first_name": "SHIVANI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-26",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "D85449",
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "MI",
            "license": "4301506359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.