NPIMap

Organization Active NPI

Anupama Shah MD, PLC

Doing business as Monroe Anesthesiologists

  • Pain Medicine (Anesthesiology) Physician
  • Monroe, MI
National Provider Identifier
1679864623
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
ANUPAMA SHAH MD, PLC
Doing business as
Monroe Anesthesiologists
Practice address
1051 S Telegraph Rd
Ste 100
Monroe, MI 48161-5514
Phone
(734) 244-5383
Fax
(734) 682-3627
NPI assigned
Apr 26, 2011
Last updated
Nov 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Authorized official

Name
Anupama Shah, MDNPI 1831131770
Title
Owner
Phone
(734) 770-3309

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X Primary

Addresses

Primary practice location

1051 S Telegraph Rd
Ste 100
Monroe, MI 48161-5514

Mailing address

PO Box 1123
Jackson, MI 49204-1123
Phone (517) 787-6440

Other names 1

  • Monroe Anesthesiologists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110622000154 MI Part B Supplier - Clinic/Group Practice 1850579855 Receives reassigned benefits from 33 practitioners
Practice locations: Monroe, MI

National Provider Directory

National Provider Directory

Locations

750 Stewart Rd
Ste 319
Monroe, MI 48162
Phone (734) 240-1900

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1679864623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1123",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492041123",
            "telephone_number": "517-787-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 S TELEGRAPH RD",
            "address_2": "STE 100",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481615514",
            "telephone_number": "734-244-5383",
            "fax_number": "734-682-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANUPAMA SHAH MD, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-26",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "ANUPAMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-770-3309",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monroe Anesthesiologists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.