Marwan Ibrahim Shuayto, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

4301087025 Issued in MI

Practice address

1103 7TH St Ste a
Port Huron, MI 48060-5497

Phone

(810) 989-0000

Fax

(810) 989-5266

NPI assigned

Oct 2, 2006

Last updated

Aug 6, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

NeurologyAlso: Pain Management, Psychiatry

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mawan Shuayto MD PCGroup PAC ID 3072764596, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Port Huron Hospital, Port Huron, MI, CCN 230216
• Lake Huron Medical Center Hospital, Port Huron, MI, CCN 230031
• McKenzie Health System Hospital, Sandusky, MI, CCN 231314

Merit-based Incentive Payment System (MIPS)

Final score

21.76 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

72.54

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mshuayto@michneuroandspine.ssdirect.aprima.com

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.

• Marwan Shuayto MD PC

  dba Blue Water Open MRI

  • Neurology Physician
  • Port Huron, MI
  • NPI 1578819850
  Medicare reassignment Care Compare group NPD Authorized official
• Neurology & Pain Institute PLLC

  dba Port Huron Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Port Huron, MI
  • NPI 1811300155

  Neurology

  Medicare reassignment NPD Authorized official

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

• McKenzie Memorial Hospital

  dba McKenzie Health System

  • Critical Access Hospital
  • Sandusky, MI
  • NPI 1497750608
  Care Compare affiliation
• McKenzie Memorial Hospital

  dba McKenzie Professional Practice

  • Family Medicine Physician
  • Sandusky, MI
  • NPI 1831443761

  Hospital

  Care Compare affiliation
• McLaren Port Huron

  • General Acute Care Hospital
  • Port Huron, MI
  • NPI 1982685384
  Care Compare affiliation
• Prime Healthcare Services-Port Huron LLC

  • General Acute Care Hospital
  • Port Huron, MI
  • NPI 1306227764
  Care Compare affiliation

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1841383924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 7TH ST STE A",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480605497",
            "telephone_number": "810-989-0000",
            "fax_number": "810-989-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 7TH ST STE A",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480605497",
            "telephone_number": "810-989-0000",
            "fax_number": "810-989-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUAYTO",
        "first_name": "MARWAN",
        "middle_name": "IBRAHIM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AL",
            "license": "00027592",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "5315052552",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301087025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841383924",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jane M Sherwood
• Edward Harrison Shifflett I
• Jodi Shinn
• Daniel K Shogren, DO
• Monica Rae Short, LMSW
• Sara Sides
• Dawn Marie Silk
• Haylea Simmons, LLMSW
• Amy Marie Simone-Hunt
• Stacey Simons

• Neurology Physician in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Neurology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.

Verify at the official NPI Registry.