MRS. MANJALI SUSHIL SHASTRY MD
NPI 1801990254
Pediatrics in Owosso, MI

Q: What is Manjali Shastry's NPI number?

The NPI number for Manjali Shastry is 1801990254. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Q: What is Manjali Shastry's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Manjali Shastry was last updated on March 26, 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.

Active since September 07, 2006CLIA 23D1078876 · Waiver

1787 S M 52, OWOSSO, MI 48867(989) 729-4600(989) 725-5760 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mrs. Manjali Sushil Shastry Md NPPES

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

MRS. MANJALI SUSHIL SHASTRY MD (NPI 1801990254) is an individual pediatrics provider in Owosso, Michigan, licensed in Michigan (4301069446) and active in the NPI registry since September 2006. She holds a CLIA Waiver certificate valid through January 16, 2028.

NPPES Registry Identity

NPI1801990254

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMRS. MANJALI SUSHIL SHASTRYCredential: MD

Location Address1787 S M 52Owosso, MI 48867-9201

Mailing Address1787 S M 52Owosso, MI 48867-9201 · (989) 729-4600 · Fax (989) 725-5760

Phone(989) 729-4600

Fax(989) 725-5760

Sole ProprietorYes

Enumeration DateSeptember 7, 2006

Last NPPES UpdateMarch 26, 2024

NPPES CertifiedMarch 26, 2024

✔ NPI 1801990254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MI · 4301069446

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1787 S M 52, Owosso, MI 48867

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Other Identifiers 1

Medicaid4552316MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D1078876

Manjali S Shastry MD PC · Owosso, MI

Active · expires Jan 16, 2028

CLIA Number23D1078876

Laboratory TypePhysician Office

Certificate Effective DateJanuary 17, 2026

Certificate Expiration DateJanuary 16, 2028

Laboratory DirectorManjali S. Shastry

Laboratory Phone(989) 729-4600

Laboratory LocationManjali S Shastry MD PC1787 S M-52, Owosso, MI 48867

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Manjali Shastry's NPI number?

The NPI number for Manjali Shastry is 1801990254. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Manjali Shastry located?

Manjali Shastry practices at 1787 S M 52, Owosso, MI 48867. The listed phone number is (989) 729-4600.

What is Manjali Shastry's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Manjali Shastry hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1078876) is associated with this NPI, valid through January 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Manjali Shastry accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Manjali Shastry 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.

When was this NPI record last updated?

The NPPES record for Manjali Shastry was last updated on March 26, 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.