Active NPI
Sarju Shah, M.D
- Family Medicine Physician
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301058742
- Practice address
- 15500 Lundy Pkwy
Dearborn, MI 48126-2778 - Phone
- (313) 586-5011
- Fax
- (313) 792-7134
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301058742 | MI | Primary |
Addresses
Primary practice location
15500 Lundy Pkwy
Dearborn, MI 48126-2778
Mailing address
42287 Cherry Hill Rd
Canton, MI 48188-1975
Phone (734) 981-1086
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104521623 | Medicaid | MI | |
| P00007965 | Other | RAILROAD MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1951 Monroe St
Dearborn, MI 48124-2916
Phone (313) 563-5757
2050 N Haggerty Rd
Suite 240
Canton, MI 48187-3796
Phone (734) 519-5161
36555 26 Mile Rd
Suite 3600
Lenox, MI 48048-3189
Phone (313) 207-5767
Hospital & facility affiliations
- Beacon Hospice of Michigan LP
- Beacon Hospice of North Detroit LP
- Beacon Hospice of West Detroit, LP
- Beaumont Hospital - Dearborn
- Cherry Hill for Nursing and Rehabilitation
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Valley State University | Family Medicine | Current | Accepting new patients |
| Worldwide Marketing Solutions, Inc | Family Medicine | Current | Accepting new patients |
| Cedar Medical Associates | Current | Accepting new patients | |
| Baco Care Services LLC | Current | Accepting new patients | |
| Pulse Primary Care PLLC | Current | Accepting new patients | |
| Cedar Medical SNF Services PLLC | Past | Accepting new patients | |
| Oakwood Healthcare, Inc. | Past | Accepting new patients | |
| Metro Man II Inc | Past | Accepting new patients | |
| Cherry Hill Opco LLC | Past | Accepting new patients | |
| Robyn L. Dragoo, OD PC | Past | Accepting new patients |
Locations
10383 42nd Ave
Allendale, MI 49401
Phone (616) 252-6030
2050 N Haggerty Rd
Ste 260
Canton, MI 48187
Phone (734) 359-5109
2050 N Haggerty Rd
Ste 240
Canton, MI 48187
Phone (734) 519-5156
1951 Monroe St
Dearborn, MI 48124
Phone (313) 563-5757
23550 Park St
Ste 201
Dearborn, MI 48124
Phone (313) 277-0075
23550 Park St
Dearborn, MI 48124
Phone (313) 277-0075
15400 Michigan Ave
Ste 1
Dearborn, MI 48126
Phone (313) 207-5767
36555 26 Mile Rd
Ste 3600
Lenox, MI 48048
Phone (313) 207-5767
39000 7 Mile Rd
Ste 2800
Livonia, MI 48152
Phone (586) 701-2300
26911 Northwestern Hwy
Ste 530
Southfield, MI 48033
Phone (313) 530-5494
26901 Beaumont Blvd
Southfield, MI 48033
Phone (947) 522-1867
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IAGHDD
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Four Seasons Nursing Center of Westland | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2025 Nov 27, 2025 |
| Cherry Hill for Nursing and Rehabilitation | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Sep 1, 2019 Sep 1, 2019 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Westland, MI
- NPI 1225682958
Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Westland, MI
- NPI 1649275959
Adp of the SNF, Operational/Managerial Control
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Dearborn, MI
- NPI 1649451964
-
- Internal Medicine Physician
- Dearborn, MI
- NPI 1225613870
-
- Family Medicine Physician
- Canton, MI
- NPI 1386247369
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1780294850
-
- Urgent Care Clinic/Center
- Allendale, MI
- NPI 1518019223
Family Medicine
-
- Internal Medicine Physician
- Dearborn, MI
- NPI 1194504423
-
- Skilled Nursing Facility
- Westland, MI
- NPI 1225682958
-
- Skilled Nursing Facility
- Westland, MI
- NPI 1649275959
-
- General Acute Care Hospital
- Trenton, MI
- NPI 1740230648
-
- Optometrist
- Novi, MI
- NPI 1447482369
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Canton, MI
- NPI 1629486543
-
- Community Based Hospice Care Agency
- Bingham Farms, MI
- NPI 1891103719
-
- Community Based Hospice Care Agency
- Bingham Farms, MI
- NPI 1235536269
-
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437350400000",
"number": "1124090675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42287 CHERRY HILL RD",
"city": "CANTON",
"state": "MI",
"postal_code": "481881975",
"telephone_number": "734-981-1086",
"fax_number": "734-981-5094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15500 LUNDY PKWY",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262778",
"telephone_number": "313-586-5011",
"fax_number": "313-792-7134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "SARJU",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2015-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301058742",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104521623",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00007965",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- 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.