Individual provider Active NPI

Shaz Shuja Anwar, D.O.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Ann Arbor, MI
National Provider Identifier
1124415344
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
5101027060 Issued in MI
Practice address
2366 Oak Valley Dr
Ann Arbor, MI 48103-8944
Phone
(877) 227-8823
NPI assigned
Apr 26, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101027060 MI
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 01022040703 VA
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 5101027060 MI Primary

Addresses

Primary practice location

2366 Oak Valley Dr
Ann Arbor, MI 48103-8944

Mailing address

24419 Millstream Dr
Aldie, VA 20105-5837
Phone (703) 957-1800

Other practice location 1

24419 Millstream Dr
Aldie, VA 20105-5837
Phone (703) 957-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200813002637 VA Practitioner - Internal Medicine 8123444783 Reassigns benefits to 3 organizations
I20221024001197 MI Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 8123444783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.76 of 100Reported as group
Quality
79.46
Improvement activities
40
Cost
66.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101027060MIMDHospice and Palliative Medicine (Internal Medicine) Physician
01022040703VAMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Medical Team, Inc CurrentSince Jan 21, 2026 Accepting new patients
The Medical Team Inc CurrentSince Jan 21, 2026 Accepting new patients
Capital Palliative Care Consultants, LLC Hospice and Palliative Medicine Past Accepting new patients

Locations

1896 Preston White Dr
Reston, VA 20191
Phone (703) 390-2300

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospice of Northeastern MichiganGaylord, MI, CCN 231536 Hospice W-2 Managing Employee Aug 14, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1430006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1124415344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24419 MILLSTREAM DR",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201055837",
            "telephone_number": "703-957-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2366 OAK VALLEY DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481038944",
            "telephone_number": "877-227-8823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24419 Millstream Dr",
            "address_purpose": "LOCATION",
            "city": "Aldie",
            "state": "VA",
            "postal_code": "201055837",
            "country_code": "US",
            "telephone_number": "703-957-1800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANWAR",
        "first_name": "SHAZ",
        "middle_name": "SHUJA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101027060",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "VA",
            "license": "01022040703",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "MI",
            "license": "5101027060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.