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MIRA MAHENDRA SHAH M.D.
NPI 1740506351
Radiology - Therapeutic Radiology in Detroit, MI

Active since April 08, 2010PECOS EnrolledAccepts Medicare Assignment
2799 W GRAND BLVD # M2, DETROIT, MI 48202(313) 916-1021(313) 916-3264 Get Directions Write a Review

NPPES record last updated: July 10, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mira Mahendra Shah M.d. NPPES

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

MIRA MAHENDRA SHAH M.D. (NPI 1740506351) is an individual therapeutic radiology provider in Detroit, Michigan, licensed in Michigan (4301096685) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and maintains a secondary practice location in West Bloomfield.

NPPES Registry Identity

NPI1740506351
Entity TypeIndividualFemale
Primary Taxonomy2085R0203X
Provider Legal NameMIRA MAHENDRA SHAHCredential: M.D.
Location Address2799 W GRAND BLVD # M2Detroit, MI 48202
Mailing Address2799 W Grand BlvdDetroit, MI 48202-2689 · (313) 399-7668 · Fax (313) 916-3264
Phone(313) 916-1021
Fax(313) 916-3264
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2010
Enumeration DateApril 8, 2010
Last NPPES UpdateJuly 10, 2018
✔ NPI 1740506351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Therapeutic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0203X
License✔ Licensed in MI · 4301096685
Definition
Therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.
2799 W GRAND BLVD # M2, Detroit, MI 48202
Open in Google Maps ↗

Secondary Practice Location 1

Location 16777 W Maple RdWest Bloomfield, MI 48322-3013 · Phone (248) 661-6487 · Fax (313) 661-7164

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mira Mahendra Shah M.d. 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 ID5294967311
PECOS Enrollment IDI20150729009102
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 Reassignments

2

Medicare enrollment records show Mira Shah reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Henry Ford Health System
Same address
Plastic Surgery
2799 W GRAND BLVD
Detroit, MI 48202
  • Reassigned Medicare billing, Michigan enrollment
  • 1,886 clinicians in this Medicare group
NPI 1528142858 (313) 916-2600
W.A. Foote Memorial Hospital
58 mi
Urology
205 N. EAST AVE, ATTN: PROVIDER ENROLLMENT
Jackson, MI 49201
  • Reassigned Medicare billing, Michigan enrollment
  • 474 clinicians in this Medicare group
NPI 1073051199 (517) 841-7843

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

Areas of Expertise CMS Part B claims 10

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.

Ct guidance for insertion of radiation therapy fields 77014
CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.
202 services31 patients
Calculation of radiation therapy dose 77300
Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.
179 services34 patients
Design and construction of complex radiation treatment device 77334
The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.
76 services37 patients
Radiation treatment management, 5 treatment sessions 77427
Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.
59 services29 patients
Complex radiation therapy planning 77263
Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.
42 services37 patients
Design and construction of radiation treatment device for high precision radiation therapy 77338
A radiation treatment device is custom-made for each patient to target cancer cells with high precision. It's designed to focus radiation on the tumor, sparing healthy tissue. This process ensures effective therapy while minimizing side effects.
31 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Henry Ford Allegiance Health

Acute Care Hospitals · Jackson, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230092
Location205 N East AveJackson, MI 49201 · Jackson County
Emergency services Birthing friendly

Henry Ford Health West Bloomfield Hospital

Acute Care Hospitals · West Bloomfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230302
Location6777 West Maple RoadWest Bloomfield, MI 48322 · Oakland County
Emergency services Birthing friendly

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 Mira Shah's NPI number?

The NPI number for Mira Shah is 1740506351. It was assigned to this individual provider in the NPPES registry on April 8, 2010.

Where is Mira Shah located?

Mira Shah practices at 2799 W Grand Blvd # M2, Detroit, MI 48202. The listed phone number is (313) 916-1021.

What is Mira Shah's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Therapeutic Radiology, with taxonomy code 2085R0203X.

Is Mira Shah enrolled in Medicare?

Yes. Mira Shah 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.

Which organizations bill Medicare for Mira Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mira Shah reassigns Medicare benefits to 2 organizations: Henry Ford Health System (Detroit, MI) and W.A. Foote Memorial Hospital (Jackson, MI). Each 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 Mira Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mira Shah accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Mira Shah 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 Mira Shah affiliated with any hospitals?

According to CMS data, Mira Shah is affiliated with Henry Ford Health Hospital, Henry Ford Allegiance Health and Henry Ford Health West Bloomfield Hospital.

When was this NPI record last updated?

The NPPES record for Mira Shah was last updated on July 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.