NPIMap

Individual provider Active NPI

Dalya S Shamon, M.D.

  • Family Medicine Physician
  • Sterling Heights, MI
National Provider Identifier
1164657805
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301094062 Issued in MI
Practice address
39150 Dequindre Rd Ste 200
Sterling Heights, MI 48310-6983
Phone
(586) 268-5440
Fax
(586) 268-5441
NPI assigned
May 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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 4301094062 MI Primary

Addresses

Primary practice location

39150 Dequindre Rd Ste 200
Sterling Heights, MI 48310-6983

Mailing address

39150 Dequindre Rd Ste 200
Sterling Heights, MI 48310-6983
Phone (586) 268-5440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130403000409 MI Practitioner - Family Practice 4486899903 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Toma and Yaldo Medical Center PCGroup PAC ID 6507297348, 2 clinicians
Sudad Louis MD PLLCGroup PAC ID 7315243920, 2 clinicians

Practice addresses (Care Compare)

39150 Dequindre Rd
Suite 200
Sterling Heights, MI 48310-6983
Phone (586) 268-5440

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sudad Louis MD PLLC CurrentSince Feb 1, 2018 Accepting new patients
Toma & Yaldo Medical Center PC CurrentSince Mar 1, 2020 Accepting new patients
Sudad Louis MD PLLC Past Accepting new patients
Mercy Internal Medicine PLLC PastSince Sep 1, 2015 Accepting new patients

Locations

39150 Dequindre Rd
Ste 200
Sterling Hts, MI 48310
Phone (248) 444-8582

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

Organizations & group practices 4

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 12

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": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1164657805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39150 DEQUINDRE RD STE 200",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483106983",
            "telephone_number": "586-268-5440",
            "fax_number": "586-268-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39150 DEQUINDRE RD STE 200",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483106983",
            "telephone_number": "586-268-5440",
            "fax_number": "586-268-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMON",
        "first_name": "DALYA",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-26",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301094062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.