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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: July 26, 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
Phone(313) 745-4627
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

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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
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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)

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.

Other Providers at the Same Location NPPES

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

DR. DANIEL MERESSA KOKEBU M.D.
Internal Medicine
4201 SAINT ANTOINE ST, SUITE 6A
DETROIT, MI 48201
Wayne County (313) 745-7888

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.

When was this NPI record last updated?

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