MATTHEW MARVIN SHANKLE (MD) – Anesthesiology Physician, NPI 1740250448

MATTHEW MARVIN SHANKLE (MD) is a healthcare provider. based in Rochester, Michigan. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 4301053824 (MI). The NPI Number for MATTHEW MARVIN SHANKLE (MD) is 1740250448

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW MARVIN SHANKLE (MD)
NPI
1740250448
Phone
(248) 656-9696
Address
441 S LIVERNOIS
Enumeration Date
25 January 2006
Last Update Date
20 May 2015

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2486516122
Graduation Year
1988 (38 years ago)
PAC ID
6507887577
Group Practice PAC ID
4385557602
Professional Enrollment ID
I20101118000459
Address ID
MI483071938RO432XXDRXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,716 ANESTHESIOLOGY in MI

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Provider Addresses for MATTHEW MARVIN SHANKLE (MD)

  • Rochester Center of Behavioral Medicine, 441, South Livernois Road, Rochester Hills, Oakland County, Michigan, 48307, United States

    SUITE 190

    ROCHESTER, MI 483072591

    Phone: (248) 656-9696

    Fax: (248) 656-5731

    Type: Mailing

  • 1101, West University Drive, Rochester Hills, Oakland County, Michigan, 48307, United States

    ROCHESTER, MI 48307

    Phone: (248) 652-5354

    Fax: (248) 652-5407

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-11-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101118000459IAnesthesiologyMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
01402Anesthesia for procedure for total knee joint replacement3535$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope3131$0
01922Anesthesia for x-ray or radiation therapy2020$0
00811Anesthesia for other procedure on large bowel using an endoscope1616$0
00910Anesthesia for other procedure on urinary system through urethra1616$0
View full utilization report →

Insurance plans in this area (ZIP 48307)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385557602View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YMI
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YMI
A N E S T H E S I O L O G YMI
A N E S T H E S I O L O G YMI
A N E S T H E S I O L O G YMI
A N E S T H E S I O L O G YMI
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YMI
-MI

Reviews

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Frequently asked questions

How is MATTHEW MARVIN SHANKLE (MD) identified in CMS data?
CMS-hosted NPPES data lists MATTHEW MARVIN SHANKLE (MD) with NPI 1740250448.
Does CMS list MATTHEW MARVIN SHANKLE (MD) as active?
Yes — MATTHEW MARVIN SHANKLE (MD) is active in the NPI listing used on this page.
What healthcare role does MATTHEW MARVIN SHANKLE (MD) hold?
Scheduling teams often label MATTHEW MARVIN SHANKLE (MD) under Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for MATTHEW MARVIN SHANKLE (MD)?
MATTHEW MARVIN SHANKLE (MD)'s geographic hint is Rochester, Michigan in our summary view.
Is the information about MATTHEW MARVIN SHANKLE (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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