Shanthi Gopal, MD - Medicare Family Medicine in Detroit, MI

Shanthi Gopal, MD is a medicare enrolled "Family Medicine" physician in Detroit, Michigan. Her current practice location is Henry Ford Health System, 2799 West Grand Boulevard, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 916-9106.

Shanthi Gopal is licensed to practice in Michigan (license number 4301083159) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205989753.

Contact Information

Shanthi Gopal, MD
Henry Ford Health System, 2799 West Grand Boulevard,
Detroit, MI 48202
(313) 916-9106
(313) 916-1249

Map and Direction




Physician's Profile

Full NameShanthi Gopal
GenderFemale
SpecialityFamily Medicine
LocationHenry Ford Health System, Detroit, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205989753
  • Provider Enumeration Date: 01/19/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2163524521
  • Enrollment ID: I20070305000040

Medical Identifiers

Medical identifiers for Shanthi Gopal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205989753NPI-NPPES
SG083159OtherCOMMERCIAL-COMMERCIAL NUMBER
SG083159OtherCHAMPUS-CHAMPUS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4301083159 (Michigan)Primary

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. Shanthi Gopal allows following entities to bill medicare on her behalf.
Entity NameState Of Michigan Office Of Financial Management
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710989298
PECOS PAC ID: 5496650723
Enrollment ID: O20040612000494

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. Shanthi Gopal 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
Shanthi Gopal, MD
Henry Ford Health System, 2799 West Grand Boulevard,
Detroit, MI 48202

Ph: (313) 916-9106
Shanthi Gopal, MD
Henry Ford Health System, 2799 West Grand Boulevard,
Detroit, MI 48202

Ph: (313) 916-9106

Reviews and Comments


Family Medicine Doctors in Detroit, MI

Dr. Fadl A Chokr, M.D.
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Phone: 313-398-2800    Fax: 313-649-4855
Robert Nmn Sims, DO
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Practice Location: 9150 Linwood Ave, Detroit, MI 48206
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Kimberly M. Winston Matthews, M.D.
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Practice Location: Henry Ford Health System, 4401 Conner, Detroit, MI 48215
Phone: 313-823-9800    Fax: 313-823-9883
Peter G. Coggan, M.D.MSED
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Medicare: Not Enrolled in Medicare
Practice Location: Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202
Phone: 313-916-2436    

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.