Individual provider Active NPI

Maryam Shams, CNM

  • Midwife
  • Hamtramck, MI
National Provider Identifier
1003654948
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
4704379265 Issued in MI
Practice address
9015 Joseph Campau St
Hamtramck, MI 48212-3726
Phone
(313) 213-4906
NPI assigned
Jul 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 4704379265 MI Primary

Addresses

Primary practice location

9015 Joseph Campau St
Hamtramck, MI 48212-3726

Mailing address

9015 Joseph Campau St
Hamtramck, MI 48212-3726
Phone (313) 213-4906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250312003999 MI Practitioner - Certified Nurse Midwife (CNM) 0143741694 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uwh of Michigan PLCGroup PAC ID 0345626073, 91 clinicians

Practice addresses (Care Compare)

4727 Saint Antoine St
Suite 304
Detroit, MI 48201-1461
Phone (313) 833-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
4704379265MIMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Women's Health II, PLLC CurrentSince Feb 22, 2025 Accepting new patients
Uwh of Michigan PLC CurrentSince Dec 24, 2025 Accepting new patients
Hutzel Womens Health Specialists PastSince Jun 27, 2021 Accepting new patients
Metro Partners in Womens Health, PC Past Accepting new patients

Locations

4727 Saint Antoine St
Ste 304
Detroit, MI 48201
Phone (313) 745-0499

9015 Joseph Campau St
Hamtramck, MI 48212
Phone (313) 213-4906

46325 W Twelve Mile Rd
Ste 250
Novi, MI 48377
Phone (248) 465-1200

28800 Ryan Rd
Ste 200
Warren, MI 48092
Phone (586) 558-1110

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23753/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/5c654365-4e23-4939-9491-d281db1c1688/
  • Direct secure messaging: maryam.shams.2@23753.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1003654948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9015 JOSEPH CAMPAU ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123726",
            "telephone_number": "313-213-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9015 JOSEPH CAMPAU ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123726",
            "telephone_number": "313-213-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMS",
        "first_name": "MARYAM",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "MI",
            "license": "4704379265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamtramck, MI

Sources for this page

Verify at the official NPI Registry.