Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. TOSKHAN JAMAAL MARCEL COOPER-SHELTON M.D., M.B.A., M.S.
NPI 1811215312
General Practice in Escanaba, MI

Q: What is Toskhan Cooper-shelton's NPI number?

The NPI number for Toskhan Cooper-shelton is 1811215312. It was assigned to this individual provider in the NPPES registry on May 7, 2010.

Q: What is Toskhan Cooper-shelton's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since May 07, 2010PECOS Enrolled

618 S 9TH ST, ESCANABA, MI 49829(906) 318-9405 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 14, 2026, Jun 19, 2019 (2 updates tracked since 2019).

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About Dr. Toskhan Jamaal Marcel Cooper-shelton M.d., M.b.a., M.s. NPPES

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

DR. TOSKHAN JAMAAL MARCEL COOPER-SHELTON M.D., M.B.A., M.S. (NPI 1811215312) is an individual general practice provider in Escanaba, Michigan, licensed in Michigan (4301509672) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1811215312

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. TOSKHAN JAMAAL MARCEL COOPER-SHELTONCredential: M.D., M.B.A., M.S.

Location Address618 S 9TH STEscanaba, MI 49829-3623

Mailing Address618 S 9th StEscanaba, MI 49829-3623 · (906) 318-9405

Phone(906) 318-9405

Sole ProprietorYes

Medical School CMSOtherGraduated 2010

Enumeration DateMay 7, 2010

Last NPPES UpdateAugust 14, 20262 updates tracked since enumeration

NPPES CertifiedAugust 14, 2026

✔ NPI 1811215312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Licenses✔ Licensed in MI · 4301509672✔ Licensed in PA · MD450412✔ Licensed in IN · 01072862A

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

618 S 9TH ST, Escanaba, MI 49829

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Secondary Practice Locations 4

Location 1676 E Springhill DrTerre Haute, IN 47802-6804 · Phone (812) 558-0574

Location 21721 Washington AveVincennes, IN 47591-4823 · Phone (812) 558-0574

Location 31001 N Western AveMarion, IN 46952-2500 · Phone (812) 558-0574

Location 41355 W Bloomfield Rd Ste 3Bloomington, IN 47403-2051 · Phone (812) 558-0574

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Toskhan Jamaal Marcel Cooper-shelton M.d., M.b.a., M.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072759844

PECOS Enrollment IDI20250925003511

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.

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 Toskhan Cooper-shelton's NPI number?

The NPI number for Toskhan Cooper-shelton is 1811215312. It was assigned to this individual provider in the NPPES registry on May 7, 2010.

Where is Toskhan Cooper-shelton located?

Toskhan Cooper-shelton practices at 618 S 9th St, Escanaba, MI 49829. The listed phone number is (906) 318-9405.

What is Toskhan Cooper-shelton's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Toskhan Cooper-shelton enrolled in Medicare?

Yes. Toskhan Cooper-shelton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Toskhan Cooper-shelton was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.