Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenneth W Shaheen, MD

Individual provider Specialist · NPI 1114928199

Kenneth W Shaheen, MD is a Plastic and Reconstructive Surgery in Troy, Michigan. Graduated from Wayne State University School of Medicine in 1983, 43 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
43
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2585 Crooks Rd
Troy, MI 48084-4702
Phone: (248) 283-1110
Fax: (248) 283-1114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 2086S0122X (MI)

Record details

NPI number1114928199
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 2, 2005
Last updated in NPPESJuly 7, 2010
Mailing address2585 Crooks Rd, Troy, MI 48084-4702

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1983 (43 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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