Kinjel Shastri, D.O

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5101022537 Issued in MI

Practice address

5280 Metropolitan Pkwy
Sterling Heights, MI 48310-4005

Phone

(248) 290-3111

NPI assigned

May 25, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Internal Medicine

Education

Kansas City University of Physicians and Surgeons, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Michigan Kidney Consultants PCGroup PAC ID 1052207115, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Clarkston Dialysis Dialysis facility, Clarkston, MI, CCN 232575
• DaVita Bloomfield Hills Home Dialysis Dialysis facility, Bloomfield Hills, MI, CCN 232697
• DaVita Partridge Creek in center Dialysis facility, Chesterfield, MI, CCN 232713
• McLaren Oakland Hospital, Pontiac, MI, CCN 230207
• Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029
• Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254
• Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195
• Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kshastri30582@direct.acumenmd.com

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.

• Michigan Kidney Consultants, P.C.

  • Nephrology Physician
  • Sterling Heights, MI
  • NPI 1831130723
  Medicare reassignment Care Compare group NPD
• Telemed Consultants PLLC

  • Internal Medicine Physician
  • Pontiac, MI
  • NPI 1699398347
  NPD (past)

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

• Fremont Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bloomfield Hills, MI
  • NPI 1467890616

  Dialysis facility

  Care Compare affiliation Name & address match
• Shoshone Dialysis, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Chesterfield, MI
  • NPI 1306239140

  Dialysis facility

  Care Compare affiliation Name & address match
• Henry Ford Health Macomb Oakland Hospital

  • General Acute Care Hospital
  • Warren, MI
  • NPI 1124099858
  Care Compare affiliation
• Henry Ford Health Macomb Oakland Hospital

  • General Acute Care Hospital
  • Madison Heights, MI
  • NPI 1215139233
  Care Compare affiliation
• Henry Ford Health Rochester Hospital

  • General Acute Care Hospital
  • Rochester, MI
  • NPI 1437176203
  Care Compare affiliation
• McLaren Oakland

  • General Acute Care Hospital
  • Pontiac, MI
  • NPI 1376564088
  Care Compare affiliation
• St Joseph Mercy Hospital-SMHC

  • General Acute Care Hospital
  • Pontiac, MI
  • NPI 1053356352
  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Troy, MI
  • NPI 1306825997
  Care Compare affiliation

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1568810091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5280 METROPOLITAN PKWY",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104005",
            "telephone_number": "248-290-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5280 METROPOLITAN PKWY",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104005",
            "telephone_number": "248-290-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHASTRI",
        "first_name": "KINJEL",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101022537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thulasi Shanmukanathan, M.D.
• Jenna Lynn Shannon
• Brittany Lynn Sharp, FNP
• Solitaire Sharp
• Stephanie Ann Sharpe, NP-C
• Jorden Shaw
• Sabrina Shaw
• Miranda Leanna Shaya
• Basel Shbib
• Afrie Bangla Sheik

• Internal Medicine Physician in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.