SHANNON DELORES FAYSON MD
NPI 1871085381
Otolaryngology - Pediatric Otolaryngology in Ann Arbor, MI

Active since May 31, 2018PECOS EnrolledAccepts Medicare Assignment
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109(734) 647-5299 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shannon Delores Fayson Md NPPES

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

SHANNON DELORES FAYSON MD (NPI 1871085381) is an individual pediatric otolaryngology provider in Ann Arbor, Michigan, licensed in Michigan (4301513715) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with University Of Michigan Health System, and maintains a secondary practice location in Ann Arbor.

NPPES Registry Identity

NPI1871085381
Entity TypeIndividualFemale
Primary Taxonomy207YP0228X
Provider Legal NameSHANNON DELORES FAYSONCredential: MD
Location Address1500 E MEDICAL CENTER DRAnn Arbor, MI 48109-5000
Mailing Address3621 S State StAnn Arbor, MI 48108-1633 · (734) 647-5299
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 31, 2018
Last NPPES UpdateSeptember 4, 2025
NPPES CertifiedSeptember 4, 2025
✔ NPI 1871085381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207YP0228X
License✔ Licensed in MI · 4301513715
Definition
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4301115213 (MI)
1500 E MEDICAL CENTER DR, Ann Arbor, MI 48109

Secondary Practice Location 1

Location 11500 E Medical Center Drive, Taubman Center, 1st Floor, Room 1903Ann Arbor, MI 48109-5312 · Phone (734) 736-9178

Accepted 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

Shannon Delores Fayson Md 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 ID4385999507
PECOS Enrollment IDI20250916003915
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 Shannon Fayson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nephrology
1500 E MEDICAL CENTER DR
Ann Arbor, MI 48109
  • Reassigned Medicare billing, Michigan enrollment
  • Also billed through NPI 1033133525 (Michigan)
  • 2,377 clinicians in this Medicare group
Emergency Medicine
800 E COLUMBIA ST
Mason, MI 48854
  • Reassigned Medicare billing, Michigan enrollment
  • 916 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

University Of Michigan Health System

Acute Care Hospitals · Ann Arbor, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230046
Location1500 E Medical Center Drive, Spc 5474Ann Arbor, MI 48109 · Washtenaw County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

Pathology (Forensic Pathology)
1500 E MEDICAL CENTER DR, 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY
ANN ARBOR, MI 48109
Internal Medicine (Gastroenterology)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Pathology (Cytopathology)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Pediatrics
1500 E MEDICAL CENTER DR, 12TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL ROOM 525
ANN ARBOR, MI 48109
Pediatrics (Pediatric Infectious Diseases)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Physician Assistant
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Family Medicine (Hospice and Palliative Medicine)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

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 Shannon Fayson's NPI number?

The NPI number for Shannon Fayson is 1871085381. It was assigned to this individual provider in the NPPES registry on May 31, 2018.

Where is Shannon Fayson located?

Shannon Fayson practices at 1500 E Medical Center Dr, Ann Arbor, MI 48109. The listed phone number is (734) 647-5299.

What is Shannon Fayson's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

Is Shannon Fayson enrolled in Medicare?

Yes. Shannon Fayson 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 Shannon Fayson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Fayson reassigns Medicare benefits to 2 organizations: Regents Of The University Of Michigan (Ann Arbor, MI) and Edward W. Sparrow Hospital Association (Mason, 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 Shannon Fayson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Fayson 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 1 other insurer list Shannon Fayson 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 Shannon Fayson affiliated with any hospitals?

According to CMS data, Shannon Fayson is affiliated with University Of Michigan Health System.

When was this NPI record last updated?

The NPPES record for Shannon Fayson was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.