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SHAGANE NICOLE KOTCHARIAN MD
NPI 1235927682
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 28, 2025PECOS Enrolled
3901 BEAUBIEN BLVD., DETROIT, MI 48201(313) 745-5146 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shagane Nicole Kotcharian Md NPPES

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

SHAGANE NICOLE KOTCHARIAN MD (NPI 1235927682) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235927682
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHAGANE NICOLE KOTCHARIANCredential: MD
Location Address3901 BEAUBIEN BLVD.Detroit, MI 48201
Mailing Address4201 St. Antoine, Uhc-9cDetroit, MI 48201
Phone(313) 745-5146
Sole ProprietorNo
Enumeration DateApril 28, 2025
Last NPPES UpdateMay 2, 2025
NPPES CertifiedMay 2, 2025
✔ NPI 1235927682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3901 BEAUBIEN BLVD., Detroit, MI 48201
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shagane Nicole Kotcharian Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 6

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

MISS OMAIMA HANI EL-QURNEH M.D.
Student in an Organized Health Care Education/Training Program
3901 BEAUBIEN BLVD., CHILDREN'S HOSPITAL OF MICHIGAN, PEDIATRIC EDUCATION DE
DETROIT, MI 48201
Wayne County (313) 745-5533
MRS. NICOLE ELIZABETH TAYLOR AU.D
Audiologist
3901 BEAUBIEN BLVD.
DETROIT, MI 48201
Wayne County (313) 745-8903
MS. DRISHTI CHANDRU TOLANI M.D.
Student in an Organized Health Care Education/Training Program
3901 BEAUBIEN BLVD., CHILDREN'S HOSPITAL OF MICHIGAN
DETROIT, MI 48201
Wayne County (313) 745-1892
RUVINI GOONATHILAKE JAYAWARDENA MD
Student in an Organized Health Care Education/Training Program
3901 BEAUBIEN BLVD., 3T72 PEDIATRIC EDUCATION OFFICE
DETROIT, MI 48201
Wayne County (313) 745-5533
KIMBERLY KAWAJA M.D.
Student in an Organized Health Care Education/Training Program
3901 BEAUBIEN BLVD., CHILDREN'S HOSPITAL OF MICHIGAN, PEDIATRIC EDUCATION DE
DETROIT, MI 48201
Wayne County (313) 745-5533
WATCHAROOT KANCHONGKITTIPHON
Student in an Organized Health Care Education/Training Program
3901 BEAUBIEN BLVD., CHILDREN'S HOSPITAL OF MICHIGAN
DETROIT, MI 48201
Wayne County (313) 745-1892

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 Shagane Kotcharian's NPI number?

The NPI number for Shagane Kotcharian is 1235927682. It was assigned to this individual provider in the NPPES registry on April 28, 2025.

Where is Shagane Kotcharian located?

Shagane Kotcharian practices at 3901 Beaubien Blvd., Detroit, MI 48201. The listed phone number is (313) 745-5146.

What is Shagane Kotcharian's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shagane Kotcharian enrolled in Medicare?

Yes. Shagane Kotcharian is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shagane Kotcharian was last updated on May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.