G. DANIEL SHANAHAN IV DPM PC
NPI 1053417816
Podiatrist - Foot & Ankle Surgery in Commerce Twp, MI
About G. Daniel Shanahan Iv Dpm Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
G. DANIEL SHANAHAN IV DPM PC (NPI 1053417816) is a healthcare organization registered as a foot & ankle surgery in Commerce Twp, Michigan and active in the NPI registry since September 2006. The organization lists George Daniel Shanahan, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 11
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
G. Daniel Shanahan Iv Dpm Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to G. Daniel Shanahan IV DPM PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 G. Daniel Shanahan IV Dpm PC's NPI number?
The NPI number for G. Daniel Shanahan IV Dpm PC is 1053417816. It was assigned to this organization in the NPPES registry on September 16, 2006.
Where is G. Daniel Shanahan IV Dpm PC located?
G. Daniel Shanahan IV Dpm PC is located at 9640 Commerce Rd Ste 102, Commerce Twp, MI 48382. The listed phone number is (248) 360-3888.
What is G. Daniel Shanahan IV Dpm PC's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is G. Daniel Shanahan IV Dpm PC enrolled in Medicare?
Yes. G. Daniel Shanahan IV Dpm PC is registered in the Medicare PECOS enrollment system.
When is G. Daniel Shanahan IV Dpm PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through G. Daniel Shanahan IV Dpm PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to G. Daniel Shanahan IV Dpm PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does G. Daniel Shanahan IV Dpm PC accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list G. Daniel Shanahan IV Dpm PC 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.
When was this NPI record last updated?
The NPPES record for G. Daniel Shanahan IV Dpm PC was last updated on March 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# G. Daniel Shanahan Iv Dpm Pc · NPI 1053417816
Foot & Ankle Surgery organization in Commerce Twp, Michigan. Organization record, active in the CMS NPPES registry since September 16, 2006.
## Identity
- **NPI:** 1053417816 (Entity type: Organization)
- **Enumerated:** September 16, 2006
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** George Shanahan, OWNER
## Practice location
- **Address:** 9640 COMMERCE RD STE 102, Commerce Twp, MI 48382-4167
- **Phone:** (248) 360-3888 · **Fax:** (248) 363-0894
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Podiatry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 19, 2015
- **Other identifiers:** Other 5901002333 (MI); Medicare NSC 4778520001 (MI); Other 5901001605 (MI); and 8 more
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Source: [NPI Profile](https://npiprofile.com/npi/1053417816) · Data from the CMS NPPES public registry.