Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801990254 Individual Practitioner Female Practitioner

Dr. Manjali Sushil Shastry , MD

Pediatrics • Owosso, MI

Professional Overview & Biography Verified Profile Summary

Dr. Manjali Shastry, MD is a registered healthcare professional specializing in Pediatrics in Owosso, MI. Practice services are available at 1787 S M 52 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1787 S M 52

Owosso, MI 488679201

Telephone 9897294600
Fax 9897255760

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Owosso, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
6 Specialists

Practicing in Owosso, MI (2263 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-03-26
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MI 4301069446

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
4552316 (MI)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location March 26, 2024

Registered at 1787 S M 52, OWOSSO, MI 488679201 (Tel: 9897294600)

📍
Updated Business Mailing Address March 26, 2024

Registered at 1787 S M 52, OWOSSO, MI 488679201 (Tel: 9897294600)

NPI Profile Active September 29, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 29, 2011

Registered at 1053 E MAIN STREET, SUITE 201, OWOSSO, MI 48867 (Tel: 9897294600)

📍
Updated Business Mailing Address September 29, 2011

Registered at 1053 E MAIN STREET, SUITE 201, OWOSSO, MI 48867 (Tel: 9897294600)

👤
Provider Name / Credentials Updated September 29, 2011

Recorded as MANJALI SHASTRY, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2011

Pediatrics (License #4301069446 in MI)

🟢
Initial NPI Registration & Enumeration September 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1801990254
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2006
Last Update: March 26, 2024
Sole Proprietor: Yes

Mailing Address

1787 S M 52

Owosso, MI 488679201

Phone: 9897294600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.