Active NPI
Ashok R Shah, MD
- Psychiatry Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301042096
- Practice address
- 3901 Walter P Chrysler Service Dr.
Detroit, MI 48201-2167 - Phone
- (313) 993-3434
- Fax
- (313) 993-3421
- NPI assigned
- May 3, 2006
- Last updated
- Nov 2, 2016
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301042096 | MI | Primary |
Addresses
Primary practice location
3901 Walter P Chrysler Service Dr.
Detroit, MI 48201-2167
Mailing address
1560 E Maple Rd
Suite 400-Credentialing
Troy, MI 48083-1138
Phone (313) 993-3434
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2122648 | Medicaid | MI | |
| 260049772 | Other | MI | MEDICARE RR PIN |
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
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1968
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4100 John R St
Detroit, MI 48201-2013
Phone (800) 527-6266
6071 W Outer Dr
Detroit, MI 48235-2624
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alternative Community Living, Inc. | Current | Accepting new patients | |
| Alternative Community Living, Inc. | Current | Accepting new patients | |
| University Physician Group | Current | Accepting new patients | |
| Alternative Community Living Inc | Current | Accepting new patients | |
| University Physician Group | Psychiatry | Past | Accepting new patients |
Locations
3901 Chrysler Dr
#P
Detroit, MI 48201
Phone (313) 993-3434
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
4201 Saint Antoine St
#9B
Detroit, MI 48201
Phone (313) 745-1060
6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300
175 N Groesbeck Hwy
Mount Clemens, MI 48043
Phone (586) 713-5103
1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200
1560 E Maple Rd
Ste 400
Troy, MI 48083
Interoperability endpoints
- ashah@direct.dmc.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hope Network - New Passages
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Saginaw, MI
- NPI 1114131729
-
dba New Passages
- Adult Mental Health Clinic/Center
- Mount Clemens, MI
- NPI 1750595468
-
dba Hope Network - New Passages
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Flint, MI
- NPI 1164718441
-
dba Wayne State University Physician Group
- Counselor
- Detroit, MI
- NPI 1447465661
Psychiatry
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sinai-Grace Hospital
- General Acute Care Hospital
- Detroit, MI
- NPI 1760794044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478044800000",
"number": "1710945043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 E MAPLE RD",
"address_2": "SUITE 400-CREDENTIALING",
"city": "TROY",
"state": "MI",
"postal_code": "480831138",
"telephone_number": "313-993-3434",
"fax_number": "313-993-3421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 WALTER P CHRYSLER SERVICE DR.",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012167",
"telephone_number": "313-993-3434",
"fax_number": "313-993-3421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "ASHOK",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2016-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301042096",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2122648",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR PIN",
"identifier": "260049772",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.