Individual provider Active NPI

Faisal Mohiuddin Shah, M.D

  • Internal Medicine Physician
  • Farmington Hills, MI
National Provider Identifier
1104139401
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301097222 Issued in MI
Practice address
34830 W 8 Mile Rd
Apt#103
Farmington Hills, MI 48335-5136
Phone
(248) 736-8962
NPI assigned
Jul 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301097222 MI Primary

Addresses

Primary practice location

34830 W 8 Mile Rd
Apt#103
Farmington Hills, MI 48335-5136

Mailing address

34830 W 8 Mile Rd
Apt#103
Farmington Hills, MI 48335-5136
Phone (248) 736-8962

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140211001459 MI Practitioner - Internal MedicinePractitioner - Emergency Medicine 5092944207 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Center, Inc.Group PAC ID 2769387778, 488 clinicians

Practice addresses (Care Compare)

1447 N Harrison St
Hospitalist and Critical Care
Saginaw, MI 48602-4727
Phone (989) 583-4220

28505 Ford Rd
Garden City, MI 48135-2843
Phone (248) 736-8962

Hospital & facility affiliations

  • Covenant Medical Center Hospital, Saginaw, MI, CCN 230070
  • Scheurer Hospital Hospital, Pigeon, MI, CCN 231310
  • Insight Hospital and Medical Center Coldwater Hospital, Coldwater, MI, CCN 230022
  • Marlette Regional Hospital Hospital, Marlette, MI, CCN 231330
  • University of Michigan Health System Hospital, Ann Arbor, MI, CCN 230046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
RSF Medical Associates PLLC Internal Medicine CurrentSince May 14, 2023 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC Family Medicine CurrentSince Mar 11, 2017 Accepting new patients
Apollo Family Health Services PC Internal Medicine CurrentSince Sep 11, 2023 Accepting new patients
Covenant Medical Center, Inc. Family Medicine CurrentSince Jan 2, 2025 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Family Medicine CurrentSince Mar 11, 2017 Accepting new patients
Kare Center PLLC Internal Medicine CurrentSince Feb 3, 2025 Accepting new patients
Independent Emergency Physicians, P.C. CurrentSince Feb 16, 2015 Accepting new patients
W. a. Foote Memorial Hospital, Inc Internal Medicine Current Accepting new patients
Covenant Medical Center, Inc Family Medicine CurrentSince Jan 2, 2025 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Sep 1, 2013 Accepting new patients
Wa Foote Memorial Hospital Inc. CurrentSince Sep 1, 2013 Accepting new patients
Prime Healthcare Services - Garden City LLC Past Accepting new patients
Covenant Medical Center, Inc. Past Accepting new patients

Locations

3063 Oak Valley Dr
Ann Arbor, MI 48103
Phone (734) 492-0040

28511 Ford Rd
Garden City, MI 48135
Phone (734) 742-5995

5823 Middlebelt Rd
Garden City, MI 48135
Phone (734) 421-6333

6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300

1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

130 N Sherman St
Leslie, MI 49251
Phone (517) 205-2500

37637 5 Mile Rd
Ste 300
Livonia, MI 48154
Phone (248) 914-3891

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

47601 Grand River Ave
Novi, MI 48374
Phone (248) 465-4100

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

35540 W Michigan Ave
Ste 350
Wayne, MI 48184
Phone (248) 707-2954

35540 W Michigan Ave
Wayne, MI 48184
Phone (248) 827-5647

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFHEBA
  • Direct secure messaging: fshah462697@direct.hfhs.org
  • Direct secure messaging: fshah174792@direct.covenanthealthcare.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1104139401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34830 W 8 MILE RD",
            "address_2": "APT#103",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483355136",
            "telephone_number": "248-736-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34830 W 8 MILE RD",
            "address_2": "APT#103",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483355136",
            "telephone_number": "248-736-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "FAISAL",
        "middle_name": "MOHIUDDIN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-15",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301097222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.