Individual provider Active NPI

Sarju Shah, M.D

  • Family Medicine Physician
  • Dearborn, MI
National Provider Identifier
1124090675
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301058742 Issued in MI
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

Updated by the provider on Jul 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
104521623MedicaidMI
P00007965OtherRAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051229000359 MI Practitioner - Family Practice 5294761888 Reassigns benefits to 5 organizations

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
Cedar Medical AssociatesGroup PAC ID 9638252687, 5 clinicians
Pulse Primary Care PLLCGroup PAC ID 6406265180, 8 clinicians

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 Hospice, Canton, MI, CCN 231657
  • Beacon Hospice of North Detroit LP Hospice, Bingham Farms, MI, CCN 231642
  • Beacon Hospice of West Detroit, LP Hospice, Bingham Farms, MI, CCN 231705
  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
  • Cherry Hill for Nursing and Rehabilitation Nursing home, Westland, MI, CCN 235228

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Valley State University Family Medicine CurrentSince Aug 25, 2025 Accepting new patients
Worldwide Marketing Solutions, Inc Family Medicine CurrentSince Feb 15, 2021 Accepting new patients
Cedar Medical Associates CurrentSince Feb 1, 2026 Accepting new patients
Baco Care Services LLC CurrentSince Apr 1, 2025 Accepting new patients
Pulse Primary Care PLLC CurrentSince Apr 1, 2022 Accepting new patients
Cedar Medical SNF Services PLLC PastSince Oct 1, 2023 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 PastSince Aug 28, 2017 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

  • FHIR API: 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.

FacilityTypeRoleSince
Four Seasons Nursing Center of WestlandWestland, MI, CCN 235578 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2025
Nov 27, 2025
Cherry Hill for Nursing and RehabilitationWestland, MI, CCN 235228 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.

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.

Hospital & facility affiliations 6

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

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

Verify at the official NPI Registry.