ALEXANDER MICHAEL SHANNON DO
NPI 1003475765
Urology in Grand Rapids, MI

Active since June 06, 2019PECOS EnrolledAccepts Medicare Assignment
1900 WEALTHY ST SE STE 100, GRAND RAPIDS, MI 49506(616) 267-7333 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 6, 2024, Jul 29, 2024, Jun 6, 2019 (3 updates tracked since 2019).

About Alexander Michael Shannon Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDER MICHAEL SHANNON DO (NPI 1003475765) is an individual urology provider in Grand Rapids, Michigan, licensed in Michigan (5151013433) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health United Hospital, and is a graduate of Edward Via Col Of Osteo Medicine-carolinas Campus (2019).

NPPES Registry Identity

NPI1003475765
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameALEXANDER MICHAEL SHANNONCredential: DO
Location Address1900 WEALTHY ST SE STE 100Grand Rapids, MI 49506-2969
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSEdward Via Col Of Osteo Medicine-carolinas CampusGraduated 2019
Enumeration DateJune 6, 2019
Last NPPES UpdateAugust 6, 20243 updates tracked since enumeration
NPPES CertifiedAugust 6, 2024
NPI 1003475765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in MI · 5151013433
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1900 WEALTHY ST SE STE 100, Grand Rapids, MI 49506

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alexander Michael Shannon Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406398056
PECOS Enrollment IDI20240611001136
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
21 services18 patients
Imaging of urinary tract following injection of a contrast agent 74420
This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.
17 services15 patients
Simple bladder irrigation and/or instillation 51700
Bladder irrigation and/or instillation is a process where a sterile solution is introduced into the bladder to cleanse it or deliver medication. This procedure helps manage certain bladder conditions, ensuring optimal bladder health.
14 services12 patients
Crushing of stone of ureter with insertion of stent using an endoscope 52356
This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.
14 services13 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services14 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spectrum Health United Hospital

Acute Care Hospitals · Greenville, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230035
Location615 S Bower StreetGreenville, MI 48838 · Montcalm County
Birthing friendly

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Corewell Health Gerber Hospital

Critical Access Hospitals · Fremont, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231338
Location212 S Sullivan StFremont, MI 49412 · Newaygo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
1900 WEALTHY ST SE STE 100
GRAND RAPIDS, MI 49506
Urology
1900 WEALTHY ST SE STE 100
GRAND RAPIDS, MI 49506
Urology
1900 WEALTHY ST SE STE 100
GRAND RAPIDS, MI 49506
Nurse Practitioner
1900 WEALTHY ST SE STE 100
GRAND RAPIDS, MI 49506
Physician Assistant (Surgical)
1900 WEALTHY ST SE STE 100
GRAND RAPIDS, MI 49506
Physician Assistant
1900 WEALTHY ST SE STE 100
GRAND RAPIDS, MI 49506
Physician Assistant
1900 WEALTHY ST SE STE 100
GRAND RAPIDS, MI 49506
Urology
1900 WEALTHY ST SE STE 100
GRAND RAPIDS, MI 49506

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexander Shannon's NPI number?

The NPI number for Alexander Shannon is 1003475765. It was assigned to this individual provider in the NPPES registry on June 6, 2019.

Where is Alexander Shannon located?

Alexander Shannon practices at 1900 Wealthy St SE Ste 100, Grand Rapids, MI 49506. The listed phone number is (616) 267-7333.

What is Alexander Shannon's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Alexander Shannon enrolled in Medicare?

Yes. Alexander Shannon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Alexander Shannon accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Alexander Shannon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Alexander Shannon affiliated with any hospitals?

According to CMS data, Alexander Shannon is affiliated with Spectrum Health United Hospital, Spectrum Health and Corewell Health Gerber Hospital.

When was this NPI record last updated?

The NPPES record for Alexander Shannon was last updated on August 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.