Active NPI
Mansi Parag Shah, M.D
- Student in an Organized Health Care Education/Training Program
- Detroit, MI
National Provider Identifier
1902697253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- Detroit Medical Center
Gme Office 4201 St. Antoine
Detroit, MI 48201 - Phone
- (313) 745-5146
- Fax
- (313) 966-0880
- NPI assigned
- May 15, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
Detroit Medical Center
Gme Office 4201 St. Antoine
Detroit, MI 48201
Mailing address
Detroit Medical Center
Gme Office 4201 St. Antoine
Detroit, MI 48201
Phone (313) 745-5146
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251009001815 | MI | Order and Referring Only - Pediatric Medicine | 2466959994 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759276800000",
"number": "1902697253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DETROIT MEDICAL CENTER",
"address_2": "GME OFFICE 4201 ST. ANTOINE",
"city": "DETROIT",
"state": "MI",
"postal_code": "48201",
"telephone_number": "313-745-5146",
"fax_number": "313-966-0880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DETROIT MEDICAL CENTER",
"address_2": "GME OFFICE 4201 ST. ANTOINE",
"city": "DETROIT",
"state": "MI",
"postal_code": "48201",
"telephone_number": "313-745-5146",
"fax_number": "313-966-0880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "MANSI",
"middle_name": "PARAG",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-15",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.