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MARK SHAMOUN M.D.
NPI 1245572460
Pediatrics - Pediatric Hematology-Oncology in Detroit, MI

Active since March 26, 2013PECOS Enrolled
CHILDREN'S HOSPITAL OF MI, 3901 BEAUBIEN 2ND, DETROIT, MI 48201(313) 745-5515(313) 745-5237 Get Directions Write a Review

NPPES record last updated: July 25, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark Shamoun M.d. NPPES

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

MARK SHAMOUN M.D. (NPI 1245572460) is an individual pediatric hematology-oncology provider in Detroit, Michigan, licensed in Michigan (4301110072) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245572460
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameMARK SHAMOUNCredential: M.D.
Location AddressCHILDREN'S HOSPITAL OF MI, 3901 BEAUBIEN 2NDDetroit, MI 48201
Mailing AddressUniversity Pediatricians, 4201 St. Antoine Uhc 5d # 226Detroit, MI 48201 · (313) 966-5051 · Fax (313) 966-0665
Phone(313) 745-5515
Fax(313) 745-5237
Sole ProprietorYes
Enumeration DateMarch 26, 2013
Last NPPES UpdateJuly 25, 2019
✔ NPI 1245572460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in MI · 4301110072
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Also ListedPediatricsTaxonomy 208000000X · License 4301110072 (MI)
CHILDREN'S HOSPITAL OF MI, 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)

Mark Shamoun M.d. 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 19

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

DR. NUSRAT JAVAID M.D.
Pediatrics (Pediatric Emergency Medicine)
CHILDREN'S HOSPITAL OF MI, 3901 BEAUBIEN - GROUND FL
DETROIT, MI 48201
Wayne County (313) 745-5260
MELORI MCDONALD NP
Nurse Practitioner (Pediatrics)
CHILDREN'S HOSPITAL OF MI, 3901 BEAUBIEN 4TH FLOOR CARL'S BLDG
DETROIT, MI 48201
Wayne County (313) 745-5585
JASON MICHAEL KING M.D.
Pediatrics
CHILDREN'S HOSPITAL OF MI, 3901 BEAUBIEN GROUND FL
DETROIT, MI 48201
Wayne County (313) 745-5260
MORGAN GREEN M.D.
Pediatrics
CHILDREN'S HOSPITAL OF MI, 3901 BEAUBIEN 3RD FL # 3G32
DETROIT, MI 48201
Wayne County (313) 966-0128
JASON P MILLER M.D.
Pediatrics (Pediatric Emergency Medicine)
CHILDREN'S HOSPITAL OF MI, 3901 BEAUBIEN
DETROIT, MI 48201
Wayne County (313) 745-5260
TONY LULGJURAJ M.D.
Pediatrics (Pediatric Gastroenterology)
CHILDREN'S HOSPITAL OF MI, 3950 BEAUBIEN 3RD FL
DETROIT, MI 48201
Wayne County (313) 745-5585
DR. CINDY AGU D.O
Pediatrics (Neonatal-Perinatal Medicine)
CHILDREN'S HOSPITAL OF MI, 3901 BEAUBIEN
DETROIT, MI 48201
Wayne County (313) 745-5638
LORI WALTON FNP-C
Nurse Practitioner (Family)
CHILDREN'S HOSPITAL OF MI, 3901 BEAUBIEN
DETROIT, MI 48201
Wayne County (313) 966-0128

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 Mark Shamoun's NPI number?

The NPI number for Mark Shamoun is 1245572460. It was assigned to this individual provider in the NPPES registry on March 26, 2013.

Where is Mark Shamoun located?

Mark Shamoun practices at Children's Hospital Of Mi 3901 Beaubien 2nd, Detroit, MI 48201. The listed phone number is (313) 745-5515.

What is Mark Shamoun's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Mark Shamoun enrolled in Medicare?

Yes. Mark Shamoun is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Shamoun was last updated on July 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.