Individual provider Active NPI

Jenny Meng Shao Kashmanian, MD

  • Surgery Physician
  • Ann Arbor, MI
National Provider Identifier
1760800502
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301508343 Issued in MI
Practice address
2926A Taubman Center
1500 E. Medical Center Drive
Ann Arbor, MI 48109-5331
Phone
(734) 936-5792
NPI assigned
Mar 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301508343 MI Primary

Addresses

Primary practice location

2926A Taubman Center
1500 E. Medical Center Drive
Ann Arbor, MI 48109-5331

Mailing address

2926A Taubman Center
1500 E. Medical Center Drive
Ann Arbor, MI 48109
Phone (260) 416-2390

Other names 1

  • Jenny Shao Former name

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
I20230221000731 MI Practitioner - General Surgery 4486981073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Indiana University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1500 E Medical Ctr
Suite 0331
Ann Arbor, MI 48109-0999
Phone (734) 936-5738

1500 E Medical Ctr 2ND Floor Rec
Taubman Center
Ann Arbor, MI 48109-0999
Phone (734) 936-5020

1500 E Medical Ctr Dr
Ann Arbor, MI 48109-0999

1500 E Medical Ctr Dr
Ann Arbor, MI 48109-5000

1500 E Medical Ctr Dr 1St FL
Taubman Ctr Rec D
Ann Arbor, MI 48109-5000
Phone (734) 936-4185

1500 E Medical Ctr Dr 1St FL Rec D
Taubman Center
Ann Arbor, MI 48109-5000
Phone (734) 764-5175

1500 E Medical Ctr Dr 1St FL Rec F
Mott Hospital
Ann Arbor, MI 48109-5000
Phone (734) 764-5176

1500 E Medical Ctr Dr 1St Flo
Ann Arbor, MI 48109-0999

1500 E Medical Ctr Dr 1St Floor
Ann Arbor, MI 48109-0999

1500 E Medical Ctr Dr 2ND LR
Med Inn
Ann Arbor, MI 48109-0999
Phone (734) 763-5459

1500 E Medical Ctr Dr 3Rd FL Taubma
Ann Arbor, MI 48109-5000
Phone (734) 647-7321

1500 E Medical Ctr Dr B2 Floor R
Cancer and Geriatrics Center
Ann Arbor, MI 48109-0999
Phone (734) 936-6274

1500 E Medical Ctr Dr Level B
Cancer and Geriatrics Center
Ann Arbor, MI 48109-0999
Phone (734) 647-8901

7500 Challis Rd
Brighton, MI 48116-9416
Phone (810) 263-4000

775 S Main St
Chelsea, MI 48118-1383
Phone (734) 936-7175

8001 Challis Rd
Brighton, MI 48116-7446
Phone (810) 227-9510

Hospital & facility affiliations

  • University of Michigan Health System Hospital, Ann Arbor, MI, CCN 230046
  • Chelsea Hospital Hospital, Chelsea, MI, CCN 230259

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)19
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Medical Center CurrentSince Jul 29, 2019 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jul 29, 2019 Accepting new patients
Regents of the University of Michigan Current Accepting new patients
Carolinas Physicians Network Inc Surgery CurrentSince Jul 29, 2019 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Regents of the University of Michigan CurrentSince Feb 14, 2023 Accepting new patients
Regents of the University of Michigan Surgery CurrentSince Feb 14, 2023 Accepting new patients
Carolinas Medical Center CurrentSince Jul 29, 2019 Accepting new patients
Carolinas Pathology Group, PA Current Accepting new patients
Carolinas Medical Center Current Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Regents of the University of Michigan Past Accepting new patients

Locations

1500 E Medical Center Dr
#D
Ann Arbor, MI 48109
Phone (734) 936-5823

3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229

1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280

7500 Challis Rd
Brighton, MI 48116
Phone (734) 764-4190

8001 Challis Rd
Brighton, MI 48116
Phone (810) 227-9510

775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764

2608 E 7th St
Charlotte, NC 28204
Phone (704) 344-9034

1350 S Kings Dr
Charlotte, NC 28207
Phone (704) 446-1255

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

14214 Ballantyne Lake Rd
Ste 200
Charlotte, NC 28277
Phone (704) 667-2680

Organizations & group practices 12

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": "1396137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1760800502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2926A TAUBMAN CENTER",
            "address_2": "1500 E. MEDICAL CENTER DRIVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48109",
            "telephone_number": "260-416-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2926A TAUBMAN CENTER",
            "address_2": "1500 E. MEDICAL CENTER DRIVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095331",
            "telephone_number": "734-936-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAO KASHMANIAN",
        "first_name": "JENNY",
        "middle_name": "MENG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-30",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301508343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "SHAO",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.