MAZHAR SHAHID SHAPOO
NPI 1710670872
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since June 02, 2023PECOS Enrolled
4201 SAINT ANTOINE ST, SUITE 6A, DETROIT, MI 48201(313) 745-4627 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 22, 2023, Jun 2, 2023 (2 updates tracked since 2023).

About Mazhar Shahid Shapoo NPPES

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

MAZHAR SHAHID SHAPOO (NPI 1710670872) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1710670872
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMAZHAR SHAHID SHAPOO
Location Address4201 SAINT ANTOINE ST, SUITE 6ADetroit, MI 48201
Mailing Address4201 Saint Antoine St, Suite 9cDetroit, MI 48201 · (313) 745-5147
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 2, 2023
Last NPPES UpdateAugust 22, 20232 updates tracked since enumeration
NPPES CertifiedJune 2, 2023
✔ NPI 1710670872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
4201 SAINT ANTOINE ST, SUITE 6A, Detroit, MI 48201

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mazhar Shahid Shapoo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092294660
PECOS Enrollment IDI20260204003631
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 Mazhar Shapoo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
2601 ELECTRIC AVE
Port Huron, MI 48060
  • Reassigned Medicare billing, Michigan enrollment
  • 26 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

Internal Medicine
4201 SAINT ANTOINE ST, SUITE 6A
DETROIT, MI 48201

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 Mazhar Shapoo's NPI number?

The NPI number for Mazhar Shapoo is 1710670872. It was assigned to this individual provider in the NPPES registry on June 2, 2023.

Where is Mazhar Shapoo located?

Mazhar Shapoo practices at 4201 Saint Antoine St, Suite 6A, Detroit, MI 48201. The listed phone number is (313) 745-4627.

What is Mazhar Shapoo's specialty?

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

Is Mazhar Shapoo enrolled in Medicare?

Yes. Mazhar Shapoo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mazhar Shapoo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mazhar Shapoo reassigns Medicare benefits to Inhospital Physicians Michigan PLLC (Port Huron, MI). 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 Mazhar Shapoo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mazhar Shapoo was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.