Individual provider Active NPI

Ashwin H Shah, MD

  • Urology Physician
  • Monroe, MI
National Provider Identifier
1710983812
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
4301043074 Issued in MI
Practice address
730 N Macomb St
Ste 319
Monroe, MI 48162
Phone
(734) 241-3900
Fax
(734) 241-3538
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 4301043074 MI Primary

Addresses

Primary practice location

730 N Macomb St
Ste 319
Monroe, MI 48162

Mailing address

360 Santure St
Monroe, MI 48162-4128
Phone (734) 241-3900

Other identifiers 5

IdentifierTypeStateIssuer
3405810232OtherMIBCBS
104595322MedicaidMI
02011OtherMIPARAMOUNT
0514942OtherOHPALMETTO GBA OHIO CLAIMS
P00114142OtherPALMETTO GBA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040630000563 MI Practitioner - Urology 6305822818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

718 N Macomb St
Mercy Memorial Hospital
Monroe, MI 48162-2900
Phone (734) 497-8170

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301043074MIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ashwin H Shah MD PC Urology CurrentSince Jun 25, 2004 Accepting new patients
Riverside OB GYN P C PastSince Jul 16, 1999 Accepting new patients

Locations

730 N Macomb St
Ste 319
Monroe, MI 48162
Phone (734) 241-3900

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

2275 W Jefferson Ave
Trenton, MI 48183
Phone (734) 675-7210

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc35511_ashwinshahmd

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1710983812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SANTURE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624128",
            "telephone_number": "734-241-3900",
            "fax_number": "734-241-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N MACOMB ST",
            "address_2": "STE 319",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "48162",
            "telephone_number": "734-241-3900",
            "fax_number": "734-241-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ASHWIN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "4301043074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3405810232",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104595322",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "02011",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA OHIO CLAIMS",
            "identifier": "0514942",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "P00114142",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.