Individual provider Active NPI

Anupama A Shah, M.D.

  • Anesthesiology Physician
  • Monroe, MI
National Provider Identifier
1831131770
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4301064931 Issued in MI
Practice address
740 N Macomb St
Monroe, MI 48162-7813
Phone
(734) 240-5238
Fax
(734) 240-5273
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4301064931 MI Primary

Addresses

Primary practice location

740 N Macomb St
Monroe, MI 48162-7813

Mailing address

740 N Macomb St
Monroe, MI 48162-7813
Phone (734) 240-5238

Other identifiers 1

IdentifierTypeStateIssuer
3197124-10MedicaidMI

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
I20080116000184 MI Practitioner - AnesthesiologyPractitioner - Pain Management 7618965211 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Michigan Medical School, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anupama Shah MD PLCGroup PAC ID 1850579855, 10 clinicians

Practice addresses (Care Compare)

1051 S Telegraph Rd
100 Surgical Inst of Monroe
Monroe, MI 48161-5514
Phone (734) 244-5383

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301064931MIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anupama Shah MD, PLC CurrentSince Mar 8, 2011 Accepting new patients
Ambulatory Anesthesia Associates, PC Anesthesiology CurrentSince Dec 12, 2007 Accepting new patients
Stephen J. Watts, MD, PLLC Past Accepting new patients

Locations

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

1051 S Telegraph Rd
Ste 100
Monroe, MI 48161
Phone (734) 244-5383

1051 S Telegraph Rd
Ste 10
Monroe, MI 48161
Phone (734) 244-5383

230 W Maple Rd
Troy, MI 48084
Phone (248) 244-1500

Organizations & group practices 3

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295827200000",
    "number": "1831131770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 N MACOMB ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481627813",
            "telephone_number": "734-240-5238",
            "fax_number": "734-240-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 N MACOMB ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481627813",
            "telephone_number": "734-240-5238",
            "fax_number": "734-240-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ANUPAMA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2011-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301064931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3197124-10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.