Supriya Shore, MBBS - Medicare Cardiovascular Disease (cardiology) in Brighton, MI

Supriya Shore, MBBS is a medicare enrolled "Internal Medicine - Advanced Heart Failure And Transplant Cardiology" physician in Brighton, Michigan. She graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). She is a member of the group practice Regents Of The University Of Michigan and her current practice location is 7500 Challis Rd, 2nd Floor, Brighton, Michigan. You can reach out to her office (for appointments etc.) via phone at (810) 263-4000.

Supriya Shore is licensed to practice in Michigan (license number 4301114850) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1609140029.

Contact Information

Supriya Shore, MBBS
7500 Challis Rd, 2nd Floor,
Brighton, MI 48116-9416
(810) 263-4000
Not Available

Map and Direction




Physician's Profile

Full NameSupriya Shore
GenderFemale
SpecialityCardiovascular Disease (cardiology)
Experience16 Years
Location7500 Challis Rd, Brighton, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Supriya Shore graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1609140029
  • Provider Enumeration Date: 03/02/2012
  • Last Update Date: 02/25/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0345471082
  • Enrollment ID: I20180810000268

Medical Identifiers

Medical identifiers for Supriya Shore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609140029NPI-NPPES
024175OtherCOKAISER COMMERCIAL NUMBET
19509286MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 52579 (Colorado)Secondary
207R00000XInternal Medicine 4301114850 (Michigan)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease 4301114850 (Michigan)Secondary
207RA0001XInternal Medicine - Advanced Heart Failure And Transplant Cardiology 4301114850 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Michigan Health SystemAnn arbor, MIHospital
Promedica Toledo HospitalToledo, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Regents Of The University Of Michigan37794968562916

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Supriya Shore allows following entities to bill medicare on her behalf.
Entity NameRegents Of The University Of Michigan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205868353
PECOS PAC ID: 3779496856
Enrollment ID: O20031106000325
Entity NameRegents Of The University Of Michigan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952331936
PECOS PAC ID: 3779496856
Enrollment ID: O20031117000265

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Supriya Shore is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Supriya Shore, MBBS
3621 S State St,
Ann Arbor, MI 48108-1633

Ph: (734) 647-5299
Supriya Shore, MBBS
7500 Challis Rd, 2nd Floor,
Brighton, MI 48116-9416

Ph: (810) 263-4000

Reviews and Comments


Internal Medicine Doctors in Brighton, MI

Thomas P Scott-craig, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8001 Challis Road, Brighton, MI 48116
Phone: 810-227-9510    
Mark J Skalski, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 8001 Challis Rd, Brighton, MI 48116
Phone: 810-227-9510    
Amanda Marie Cox, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8001 Challis Rd, Brighton, MI 48116
Phone: 810-227-9510    
Linda Carol Lachance, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2209 Euler Rd, #1, Brighton, MI 48114
Phone: 810-225-7960    Fax: 810-225-7961
Mark William Ealovega, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8001 Challis Rd, Brighton, MI 48116
Phone: 810-227-9510    
Aleatha Denise Reitsma-mathias, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8001 Challis Rd, Brighton, MI 48116
Phone: 734-998-2020    
Roomi Nusrat, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 7500 Challis Rd, Brighton, MI 48116
Phone: 810-263-4000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.