Active NPI
Anthony Shen, D.O.
- Internal Medicine Physician
- Troy, MI
National Provider Identifier
1619218336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 5101020292
- Practice address
- 801 W Big Beaver Rd Ste 300
Troy, MI 48084-4725 - Phone
- (248) 617-0257
- Fax
- (248) 720-4461
- NPI assigned
- Mar 5, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5101020292 | MI | Primary |
Addresses
Primary practice location
801 W Big Beaver Rd Ste 300
Troy, MI 48084-4725
Mailing address
801 W Big Beaver Rd Ste 300
Troy, MI 48084-4725
Phone (248) 617-0257
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 17, 2025 through Jan 17, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101020292 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crownwood Integrative Health | Current | Accepting new patients | |
| William Beaumont Hospital | Past | Accepting new patients |
Locations
27733 John R Rd
Madison Hts, MI 48071
Phone (248) 617-0257
Interoperability endpoints
- anthony.shen.1@19270.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Medical Specialty Clinic/Center
- Madison Heights, MI
- NPI 1245188051
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1619218336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 W BIG BEAVER RD STE 300",
"city": "TROY",
"state": "MI",
"postal_code": "480844725",
"telephone_number": "248-617-0257",
"fax_number": "248-720-4461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 W BIG BEAVER RD STE 300",
"city": "TROY",
"state": "MI",
"postal_code": "480844725",
"telephone_number": "248-617-0257",
"fax_number": "248-720-4461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEN",
"first_name": "ANTHONY",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-05",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "5101020292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.