Individual provider Active NPI

Shawn M Cole, MD

  • Internal Medicine Physician
  • Traverse City, MI
National Provider Identifier
1972787067
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
047065 Issued in CT
Practice address
10850 E Traverse Hwy Ste 1155
Traverse City, MI 49684-1363
Phone
(231) 268-0013
Fax
(469) 319-9379
NPI assigned
Dec 26, 2007
Last updated
Oct 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 047065 CT Primary

Addresses

Primary practice location

10850 E Traverse Hwy Ste 1155
Traverse City, MI 49684-1363

Mailing address

10850 E Traverse Hwy Ste 1155
Traverse City, MI 49684-1363
Phone (231) 268-0013

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
I20250416001056 MI Practitioner - Internal Medicine 8628115151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Celly Health Medical Group of Northern Michigan PCGroup PAC ID 9133644800, 4 clinicians

Practice addresses (Care Compare)

10850 E Traverse Hwy
Suite 1155
Traverse City, MI 49684-1363
Phone (844) 235-5963

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
047065CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VH Medical Group (de), P.a. Internal Medicine Current Accepting new patients
VH Medical Group (de), P.a. Internal Medicine Current Accepting new patients
Celly Health Medical Group of Northern Michigan PC Internal Medicine CurrentSince Sep 6, 2023 Accepting new patients
L&M Physician Association, Inc Internal Medicine Past Accepting new patients
Hospice of Michigan, Inc. PastSince Nov 1, 2024 Accepting new patients
Celly Health Medical Group PA Internal Medicine Past Accepting new patients

Locations

10850 E Traverse Hwy
Ste 1155
Traverse City, MI 49684
Phone (231) 268-0013

Interoperability endpoints

  • Direct secure messaging: ms_scole98@landmarkhealth-direct.org
  • Direct secure messaging: shawn.cole@297228672368644.direct.elationemr.com
  • Direct secure messaging: shawn.cole@490594650816516.direct.elationemr.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1972787067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10850 E TRAVERSE HWY STE 1155",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496841363",
            "telephone_number": "231-268-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10850 E TRAVERSE HWY STE 1155",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496841363",
            "telephone_number": "231-268-0013",
            "fax_number": "469-319-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "SHAWN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-26",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "047065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.