Shannon Antishin, DO
NPI 1124714688 · Student in an Organized Health Care Education/Training Program · Detroit, MI
Enrolled with Medicare as Order and Referring Only - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shannon Antishin, DO is a Student in an Organized Health Care Education/Training Program provider in Detroit, MI (NPI 1124714688).
Provider details
- NPI number
- 1124714688
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Losartan Potassium | 22 | 13 |
| Metformin Hcl | 12 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-04-17
- Last updated
- 2023-06-07
- Certified
- 2023-06-07
Frequently asked questions
- What is Shannon Antishin's NPI number?
- Shannon Antishin's National Provider Identifier (NPI) is 1124714688, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Antishin's specialty?
- Shannon Antishin is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Shannon Antishin located?
- Shannon Antishin's practice location on file with NPPES is 2799 W Grand Blvd, Detroit, MI 48202-2608.
- What is Shannon Antishin's phone number?
- The practice phone number listed in the NPPES registry for Shannon Antishin is (313) 916-1601.
- Does Shannon Antishin accept Medicare?
- Shannon Antishin is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shannon Antishin's NPI active?
- Yes — Shannon Antishin's NPI (1124714688) is active in the NPPES registry as of the last update on 2023-06-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.