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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: July 19, 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.

KAREN BRANIFF NP
Nurse Practitioner
CHILDREN'S HOSPITAL OF MI, 3901 BEAUBIEN 2ND FLOOR CARLS'S BUILDING
DETROIT, MI 48201
Wayne County (313) 745-5541
ALCESA ABELGAS BACKOS MD FAAP
Pediatrics (Adolescent Medicine)
CHILDREN'S HOSPITAL OF MI, 3950 BEAUBIEN
DETROIT, MI 48201
Wayne County (313) 832-8290
MEGHNA SHUKLA CPNP
Nurse Practitioner (Pediatrics)
CHILDREN'S HOSPITAL OF MI, 3901 BEAUBIEN
DETROIT, MI 48201
Wayne County (313) 745-5260
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 P MILLER M.D.
Pediatrics (Pediatric Emergency Medicine)
CHILDREN'S HOSPITAL OF MI, 3901 BEAUBIEN
DETROIT, MI 48201
Wayne County (313) 745-5260
RYAN KWONG M.D.
Pediatrics (Pediatric Emergency Medicine)
CHILDREN'S HOSPITAL OF MI, 3901 BEAUBIEN
DETROIT, MI 48201
Wayne County (313) 745-4405
DR. COLLEEN ELIZABETH MAYHEW MD
Pediatrics
CHILDREN'S HOSPITAL OF MI, 3901 BEAUBIEN ER DEPT
DETROIT, MI 48201
Wayne County (313) 745-5260

Frequently Asked Questions

What is Mark Shamoun's NPI number?

The NPI number assigned to this healthcare provider is 1245572460, enumerated as an "individual" on March 26, 2013.

Where is the provider located?

The provider is located at CHILDREN'S HOSPITAL OF MI 3901 BEAUBIEN 2ND DETROIT, MI 48201 and the phone number is (313) 745-5515.

What is the provider's specialty?

Pediatrics with taxonomy code 2080P0207X and a focus in Pediatric Hematology-Oncology.