Mindshape Clinic PLC
NPI 1174303077 · Internal Medicine Physician · Troy, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mindshape Clinic PLC is a Internal Medicine Physician organization in Troy, MI (NPI 1174303077).
Provider details
- NPI number
- 1174303077
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Hassan Khan, Medical Director(515) 650-3031
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Mindshape Clinic
Additional practice locations (2)
- 1863 Lilac Rd Ste 3Plymouth, IN 46563-9542Phone: (515) 650-3031
- 448 N Parker Church Rd Ste 3Raeford, NC 28376-9420Phone: (515) 650-3031
Registry dates
- Enumerated
- 2023-09-29
- Last updated
- 2024-12-09
- Certified
- 2024-12-09
Frequently asked questions
- What is Mindshape Clinic PLC's NPI number?
- Mindshape Clinic PLC's National Provider Identifier (NPI) is 1174303077, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mindshape Clinic PLC?
- Mindshape Clinic PLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mindshape Clinic PLC located?
- Mindshape Clinic PLC's practice location on file with NPPES is 2560 Lynwood Dr Ste 3, Troy, MI 48083-5681.
- What is Mindshape Clinic PLC's phone number?
- The practice phone number listed in the NPPES registry for Mindshape Clinic PLC is (515) 650-3031.
- Does Mindshape Clinic PLC accept Medicare?
- Mindshape Clinic PLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mindshape Clinic PLC?
- The authorized official listed on Mindshape Clinic PLC's NPPES record is Hassan Khan, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mindshape Clinic PLC's NPI active?
- Yes — Mindshape Clinic PLC's NPI (1174303077) is active in the NPPES registry as of the last update on 2024-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.