Organization Active NPI

Sheila P Meftah, MD, PLLC

  • Specialist
  • West Bloomfield, MI
National Provider Identifier
1023169992
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4301407554 Issued in MI
Legal business name
SHEILA P MEFTAH, MD, PLLC
Practice address
33200 W 14 Mile Rd
Suite 200
West Bloomfield, MI 48322-3549
Phone
(248) 737-2402
Fax
(248) 737-2501
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Dr. Sheila P Meftah, MD, PHD
Title
President
Phone
(248) 737-2402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 4301407554 MI Primary

Addresses

Primary practice location

33200 W 14 Mile Rd
Suite 200
West Bloomfield, MI 48322-3549

Mailing address

30349 Kingsway Dr
Farmington Hills, MI 48331-1680
Phone (248) 737-2402

Other identifiers 3

IdentifierTypeStateIssuer
1106335411OtherMIBCBSMI
4148723MedicaidMI
377774OtherMIHAP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080215000243 MI Part B Supplier - Clinic/Group Practice 1658454533 Receives reassigned benefits from 1 practitioner
Practice locations: West Bloomfield, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0969159Sheila P Meftah MD PLLC33200 W 14 Mile Road Suite 200, West Bloomfield, MI 48322Certificate of waiverNov 11, 2026

National Provider Directory

National Provider Directory

Locations

33200 W 14 Mile Rd
Ste 200
West Bloomfield, MI 48322
Phone (248) 737-2402

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1023169992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30349 KINGSWAY DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483311680",
            "telephone_number": "248-737-2402",
            "fax_number": "248-737-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33200 W 14 MILE RD",
            "address_2": "SUITE 200",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223549",
            "telephone_number": "248-737-2402",
            "fax_number": "248-737-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEILA P MEFTAH, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "MEFTAH",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-737-2402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301407554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMI",
            "identifier": "1106335411",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4148723",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "377774",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.