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

Maryann M. Shango, MD

Individual provider Hematology & Oncology Physician · NPI 1942593876

Maryann M. Shango, MD is an Internal Medicine in Grand Rapids, Michigan. Graduated from Wayne State University School of Medicine in 2011, 15 years ago. Practices with Northwest Cancer Specialists PC, a 69-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan, Oregon and Washington.

Years since qualifying
15
Trained at
Wayne State University School of Medicine
Licensed in
MI, OR, WA
In the registry since
2011
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

250 Cherry St SE
Grand Rapids, MI 49503-4608
Phone: (616) 685-5600
Fax: (616) 685-6745
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 27301 Dequindre Rd Ste 314, Madison Heights, MI 48071-3459 — (248) 399-4400
  • 12123 Sw 69th Ave, Tigard, OR 97223-8514 — (971) 708-7600

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence 4301098522 (MI)
Hematology & Oncology Physician Taxonomy 207RH0003X · Licence MD60739968 (WA)
Hematology & Oncology Physician Taxonomy 207RH0003X · Licence MD198359 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 4301098522 (MI)

Record details

NPI number1942593876
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 25, 2011
Last updated in NPPESMay 29, 2026
Certification dateMay 29, 2026
Mailing addressPo Box 776974, Chicago, IL 60677-6974

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Northwest Cancer Specialists Pc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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