Individual provider Active NPI

Toskhan Jamaal Marcel Cooper-Shelton, M.D., M.B.A., M.S.

  • General Practice Physician
  • Escanaba, MI
National Provider Identifier
1811215312
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4301509672 Issued in MI
Practice address
618 S 9TH St
Escanaba, MI 49829-3623
Phone
(906) 318-9405
NPI assigned
May 7, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 4301509672 MI Primary
General Practice Physician 208D00000X MD450412 PA
General Practice Physician 208D00000X 01072862A IN

Addresses

Primary practice location

618 S 9TH St
Escanaba, MI 49829-3623

Mailing address

618 S 9TH St
Escanaba, MI 49829-3623
Phone (906) 318-9405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, PA, MI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20131009001598 IN Practitioner - General PracticePractitioner - Emergency Medicine 3072759844
I20140218001265 PA Practitioner - Emergency Medicine 3072759844 Reassigns benefits to 1 organization
I20250925003511 MI Practitioner - General Practice 3072759844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine, Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Damien Cares Inc. Current Accepting new patients

Locations

26 N Arsenal Ave
Indianapolis, IN 46201
Phone (317) 423-0123

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.

NPI Registry JSON

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1811215312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 S 9TH ST",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498293623",
            "telephone_number": "906-318-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 S 9TH ST",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498293623",
            "telephone_number": "906-318-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER-SHELTON",
        "first_name": "TOSKHAN",
        "middle_name": "JAMAAL MARCEL",
        "name_prefix": "Dr.",
        "credential": "M.D., M.B.A., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-07",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301509672",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD450412",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01072862A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escanaba, MI

Sources for this page

Verify at the official NPI Registry.