Active NPI
Shayla Alvina McMahon, DO
- Anesthesiology Physician
- Pontiac, MI
National Provider Identifier
1619613262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 5101029228
- Practice address
- 44405 Woodward Ave
Pontiac, MI 48341-5023 - Phone
- (248) 858-3000
- NPI assigned
- May 6, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 5101029228 | MI | Primary |
Addresses
Primary practice location
44405 Woodward Ave
Pontiac, MI 48341-5023
Mailing address
11750 SW 40TH St
Miami, FL 33175-3530
Phone (305) 222-5205
Other practice location 1
11012 E 13 Mile Rd Ste 112A
Warren, MI 48093-2546
Phone (586) 751-9800
Other practice location 2
22401 Foster Winter Dr
Southfield, MI 48075-3724
Phone (248) 423-5198
Other practice location 3
36475 Five Mile Rd
Livonia, MI 48154-1971
Phone (734) 655-4800
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260609001947 | MI | Practitioner - Anesthesiology | 7416339353 |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Michigan State University College of Osteopathic Medicine, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2006 Hogback Rd
Suite 5a
Ann Arbor, MI 48105-9483
3635 NE 1St Ave
Miami, FL 33137-3664
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 390200000X | MI | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1619613262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11750 SW 40TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331753530",
"telephone_number": "305-222-5205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44405 WOODWARD AVE",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483415023",
"telephone_number": "248-858-3000"
}
],
"practiceLocations": [
{
"address_1": "11012 E 13 Mile Rd Ste 112A",
"address_purpose": "LOCATION",
"city": "Warren",
"state": "MI",
"postal_code": "480932546",
"country_code": "US",
"telephone_number": "586-751-9800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "22401 Foster Winter Dr",
"address_purpose": "LOCATION",
"city": "Southfield",
"state": "MI",
"postal_code": "480753724",
"country_code": "US",
"telephone_number": "248-423-5198",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "36475 Five Mile Rd",
"address_purpose": "LOCATION",
"city": "Livonia",
"state": "MI",
"postal_code": "481541971",
"country_code": "US",
"telephone_number": "734-655-4800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCMAHON",
"first_name": "SHAYLA",
"middle_name": "ALVINA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-06",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "5101029228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.
- 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.