1. Home
  2. Directory
  3. Michigan
  4. Troy
  5. Internal Medicine
  6. NPI Profile

MINDSHAPE CLINIC
NPI 1174303077
Internal Medicine in Troy, MI

Active since September 29, 2023
2560 LYNWOOD DR STE 3, TROY, MI 48083(515) 650-3031 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 9, 2024, Nov 16, 2023, Oct 6, 2023 (3 updates tracked since 2023).

About Mindshape Clinic NPPES

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

MINDSHAPE CLINIC (NPI 1174303077) is a healthcare organization registered as an internal medicine in Troy, Michigan and active in the NPI registry since September 2023. The organization maintains 2 additional practice locations and lists Hassan Khan, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1174303077
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMINDSHAPE CLINIC PLC
Location Address2560 LYNWOOD DR STE 3Troy, MI 48083-5681
Mailing Address2560 Lynwood DrTroy, MI 48083-5681 · (515) 650-3031 · Fax (515) 219-4772
Phone(515) 650-3031
Organization SubpartNo
Authorized OfficialHassan KhanMedical Director · (515) 650-3031
Enumeration DateSeptember 29, 2023
Last NPPES UpdateDecember 9, 20243 updates tracked since enumeration
NPPES CertifiedDecember 9, 2024
✔ NPI 1174303077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2560 LYNWOOD DR STE 3, Troy, MI 48083
Open in Google Maps ↗

Other Names 1

Other NameMindshape Clinic

Secondary Practice Locations 2

Location 11863 Lilac Rd Ste 3Plymouth, IN 46563-9542 · Phone (515) 650-3031
Location 2448 N Parker Church Rd Ste 3Raeford, NC 28376-9420 · Phone (515) 650-3031

Other Identifiers 2

Medicaid00427241NC
Medicaid7100785550KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross and Blue Shield of NC, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

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 Mindshape Clinic Plc's NPI number?

The NPI number for Mindshape Clinic Plc is 1174303077. It was assigned to this organization in the NPPES registry on September 29, 2023. The provider is also known as Mindshape Clinic.

Where is Mindshape Clinic Plc located?

Mindshape Clinic Plc is located at 2560 Lynwood Dr Ste 3, Troy, MI 48083. The listed phone number is (515) 650-3031.

What is Mindshape Clinic Plc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

What insurance does Mindshape Clinic Plc accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Blue Cross and Blue Shield of NC list Mindshape Clinic Plc 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 Mindshape Clinic Plc was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.