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DR. SHAUN ERIN O'TOOLE MD
NPI 1295024891
General Practice in Ada, MI

Active since April 04, 2011PECOS Enrolled
1771 HIGHGROVE DR SE, ADA, MI 49301(248) 343-9358 Get Directions Write a Review

NPPES record last updated: January 24, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Shaun Erin O'toole Md NPPES

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

DR. SHAUN ERIN O'TOOLE MD (NPI 1295024891) is an individual general practice provider in Ada, Michigan, licensed in Michigan (4301111173) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295024891
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. SHAUN ERIN O'TOOLECredential: MD
Location Address1771 HIGHGROVE DR SEAda, MI 49301-9287
Mailing Address1771 Highgrove Dr SeAda, MI 49301-9287 · (248) 343-9358
Phone(248) 343-9358
Sole ProprietorNo
Enumeration DateApril 4, 2011
Last NPPES UpdateJanuary 24, 2020
✔ NPI 1295024891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MI · 4301111173
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1771 HIGHGROVE DR SE, Ada, MI 49301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shaun Erin O'toole 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.

Medicare Billing Reassignment

Medicare enrollment records show Shaun O'toole reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health Medical Associates, PLLC
927 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Michigan enrollment
  • 666 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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 Shaun O'toole's NPI number?

The NPI number for Shaun O'toole is 1295024891. It was assigned to this individual provider in the NPPES registry on April 4, 2011.

Where is Shaun O'toole located?

Shaun O'toole practices at 1771 Highgrove Dr SE, Ada, MI 49301. The listed phone number is (248) 343-9358.

What is Shaun O'toole's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Shaun O'toole enrolled in Medicare?

Yes. Shaun O'toole is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shaun O'toole's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shaun O'toole reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). The 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 Shaun O'toole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shaun O'toole accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Shaun O'toole 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 Shaun O'toole was last updated on January 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.