Individual provider Active NPI

Anthony Shen, D.O.

  • Internal Medicine Physician
  • Troy, MI
National Provider Identifier
1619218336
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101020292 Issued in MI
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

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
5101020292MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.