NPIMap

Organization Active NPI

Allergy & Asthma Clinic PLLC

  • Allergy Physician
  • Monroe, MI
National Provider Identifier
1073619193
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
4301032767 Issued in MI
Legal business name
ALLERGY & ASTHMA CLINIC PLLC
Practice address
814 N Macomb St
Monroe, MI 48162-2930
Phone
(734) 242-2255
Fax
(734) 243-9261
NPI assigned
Sep 16, 2006
Last updated
Sep 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Authorized official

Name
Kanti Hiralal Shah, M.D.NPI 1205851326
Title
Partnership
Phone
(734) 242-2255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 4301032767 MI Primary

Addresses

Primary practice location

814 N Macomb St
Monroe, MI 48162-2930

Mailing address

814 N Macomb St
Monroe, MI 48162-2930
Phone (734) 242-2255

Other identifiers 8

IdentifierTypeStateIssuer
4054378OtherAETNA
P00060252OtherRR MEDICARE
4447580MedicaidMI
51988OtherOMNICARE
02183OtherPARAMOUNT
0586116OtherBCN
1159OtherHPM
3505861161OtherBCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1073619193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 N MACOMB ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481622930",
            "telephone_number": "734-242-2255",
            "fax_number": "734-243-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 N MACOMB ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481622930",
            "telephone_number": "734-242-2255",
            "fax_number": "734-243-9261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & ASTHMA CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "KANTI",
        "authorized_official_middle_name": "HIRALAL",
        "authorized_official_title_or_position": "PARTNERSHIP",
        "authorized_official_telephone_number": "734-242-2255",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MI",
            "license": "4301032767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4054378",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00060252",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4447580",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMNICARE",
            "identifier": "51988",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "02183",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "0586116",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPM",
            "identifier": "1159",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3505861161",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.