TREY JOSEPH SHAUGHNESSY DO
NPI 1871298323
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Trey Shaughnessy's NPI number?

The NPI number for Trey Shaughnessy is 1871298323. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Q: What is Trey Shaughnessy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Trey Shaughnessy was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 04, 2023PECOS Enrolled

4201 SAINT ANTOINE ST # 9C, DETROIT, MI 48201(313) 745-5147 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Trey Joseph Shaughnessy Do NPPES

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

TREY JOSEPH SHAUGHNESSY DO (NPI 1871298323) 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 and is a graduate of Michigan State University College Of Osteopathic Medicine (2023).

NPPES Registry Identity

NPI1871298323

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameTREY JOSEPH SHAUGHNESSYCredential: DO

Location Address4201 SAINT ANTOINE ST # 9CDetroit, MI 48201-2153

Mailing Address4201 Saint Antoine St # 9cDetroit, MI 48201-2153 · (313) 745-5147

Phone(313) 745-5147

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2023

Enumeration DateApril 4, 2023

Last NPPES UpdateJune 17, 2026

NPPES CertifiedJune 17, 2026

✔ NPI 1871298323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 5101028886 (MI)

4201 SAINT ANTOINE ST # 9C, 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)

Trey Joseph Shaughnessy Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476910738

PECOS Enrollment IDI20260623004177

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 20

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

DR. STEPHANIE NICOLE STEVENS MD

Anesthesiology