Mindshape Clinic PLC
NPI 1174303077ActiveOrganization· Internal Medicine· Troy, MI
Internal Medicine in Troy, Michigan, registered in NPPES in September 2023. The authorized official on file is Hassan Khan, Medical Director. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1174303077 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 29, 2023 |
| Last updated in NPPES | Dec 9, 2024 |
| Certified by provider | Dec 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (IN); Part B Supplier - Clinic/Group Practice (MI); Part B Supplier - Clinic/Group Practice (NC); Part B Supplier - Clinic/Group Practice (TX) |
|---|
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All 171 internal medicine physicians in Troy · All internal medicine physicians in Michigan