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ANDREW SHANHOLTZER MD
NPI 1740976653
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 13, 2023PECOS Enrolled
4160 JOHN R ST STE 1017, DETROIT, MI 48201(313) 745-4123 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrew Shanholtzer Md NPPES

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

ANDREW SHANHOLTZER MD (NPI 1740976653) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740976653
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANDREW SHANHOLTZERCredential: MD
Location Address4160 JOHN R ST STE 1017Detroit, MI 48201-2017
Mailing Address4160 John R St Ste 1017Detroit, MI 48201-2017
Phone(313) 745-4123
Sole ProprietorYes
Enumeration DateApril 13, 2023
Last NPPES UpdateApril 14, 2023
NPPES CertifiedApril 14, 2023
✔ NPI 1740976653 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.
4160 JOHN R ST STE 1017, 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)

Andrew Shanholtzer 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.

Other Providers at the Same Location NPPES 7

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

ERIEL EMMER DO
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 1017
DETROIT, MI 48201
Wayne County (313) 745-4123
CADE FOUNTAIN
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 1017
DETROIT, MI 48201
Wayne County (313) 745-4123
REGINE BALDAUFF SANCHEZ
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 1017
DETROIT, MI 48201
Wayne County (313) 745-4123
ANDREW H LANGE MD
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 1017
DETROIT, MI 48201
Wayne County (313) 745-4123
TIMOTHY SMITH MD
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 1017
DETROIT, MI 48201
Wayne County (313) 745-4123
LOGAN RUBIN DO
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 1017
DETROIT, MI 48201
Wayne County (313) 745-4123
ALI BAYDOUN MD
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 1017
DETROIT, MI 48201
Wayne County (313) 745-4123

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 Andrew Shanholtzer's NPI number?

The NPI number for Andrew Shanholtzer is 1740976653. It was assigned to this individual provider in the NPPES registry on April 13, 2023.

Where is Andrew Shanholtzer located?

Andrew Shanholtzer practices at 4160 John R St Ste 1017, Detroit, MI 48201. The listed phone number is (313) 745-4123.

What is Andrew Shanholtzer's specialty?

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

Is Andrew Shanholtzer enrolled in Medicare?

Yes. Andrew Shanholtzer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrew Shanholtzer was last updated on April 14, 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.