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DR. KATHREN HISHAM SHANGO MD
NPI 1619545845
Internal Medicine in Pontiac, MI

Active since June 14, 2021PECOS EnrolledAccepts Medicare Assignment
44428 WOODWARD AVE STE 102, PONTIAC, MI 48341(248) 858-3126(248) 858-6499 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 23, 2024, Jun 14, 2021 (2 updates tracked since 2021).

About Dr. Kathren Hisham Shango Md NPPES

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

DR. KATHREN HISHAM SHANGO MD (NPI 1619545845) is an individual internal medicine provider in Pontiac, Michigan, licensed in Michigan (4301512608) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Trinity Health Oakland Hospital, and is a graduate of Wayne State University School Of Medicine (2021).

NPPES Registry Identity

NPI1619545845
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KATHREN HISHAM SHANGOCredential: MD
Location Address44428 WOODWARD AVE STE 102Pontiac, MI 48341-5009
Mailing Address24 Frank Lloyd Wright Dr # J2000Ann Arbor, MI 48105-9484 · (734) 747-6766 · Fax (734) 222-3100
Phone(248) 858-3126
Fax(248) 858-6499
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2021
Enumeration DateJune 14, 2021
Last NPPES UpdateJuly 23, 20242 updates tracked since enumeration
NPPES CertifiedJuly 23, 2024
✔ NPI 1619545845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301512608
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4351048387 (MI)
44428 WOODWARD AVE STE 102, Pontiac, MI 48341
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kathren Hisham Shango Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749686731
PECOS Enrollment IDI20240817000282
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services18 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
16 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trinity Health Oakland Hospital

Acute Care Hospitals · Pontiac, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230029
Location44405 Woodward AvePontiac, MI 48341 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48341 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

KATIE R KWAK MD
Internal Medicine
44428 WOODWARD AVE STE 102
PONTIAC, MI 48341
Oakland County (248) 858-3126
LEEN ALRASHED MD
Family Medicine
44428 WOODWARD AVE STE 102
PONTIAC, MI 48341
Oakland County (248) 858-3126
BENJAMIN JOHN DIACZOK I MD
Internal Medicine
44428 WOODWARD AVE STE 102
PONTIAC, MI 48341
Oakland County (248) 858-3126
GEETHA KRISHNAMOORTHY MD
Internal Medicine
44428 WOODWARD AVE STE 102
PONTIAC, MI 48341
Oakland County (248) 858-3126
IHA OOMA PRIMARY LLC
Internal Medicine
44428 WOODWARD AVE STE 102
PONTIAC, MI 48341
Oakland County (248) 858-3126

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 Kathren Shango's NPI number?

The NPI number for Kathren Shango is 1619545845. It was assigned to this individual provider in the NPPES registry on June 14, 2021.

Where is Kathren Shango located?

Kathren Shango practices at 44428 Woodward Ave Ste 102, Pontiac, MI 48341. The listed phone number is (248) 858-3126.

What is Kathren Shango's specialty?

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

Is Kathren Shango enrolled in Medicare?

Yes. Kathren Shango is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kathren Shango accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Kathren Shango 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.

Is Kathren Shango affiliated with any hospitals?

According to CMS data, Kathren Shango is affiliated with Trinity Health Oakland Hospital.

When was this NPI record last updated?

The NPPES record for Kathren Shango was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.