Individual provider Active NPI

Sheala Jafry, MD

  • Family Medicine Physician
  • Rochester, MI
National Provider Identifier
1174524490
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301074850 Issued in MI
Practice address
1135 W University Dr
Suite 250
Rochester, MI 48307-1886
Phone
(248) 650-6301
Fax
(248) 650-5486
NPI assigned
Aug 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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 4301074850 MI Primary

Addresses

Primary practice location

1135 W University Dr
Suite 250
Rochester, MI 48307-1886

Mailing address

1560 E. Maple Rd
Suite 400- Credentialing
Troy, MI 48083-1189
Phone (248) 581-5974

Other identifiers 1

IdentifierTypeStateIssuer
4637861MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sjafry23072@direct.beaumont.edu

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
I20040928000468 MI Practitioner - Family Practice 8022087907 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakwood Ambulatory LLCGroup PAC ID 1850282914, 271 clinicians

Practice addresses (Care Compare)

201 3Rd St
Suite 200
Belleville, MI 48111-2605
Phone (734) 697-9065

44250 Dequindre Rd
Sterling Heights, MI 48314-1002
Phone (248) 964-0400

Hospital & facility affiliations

  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301074850MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Group CurrentSince Aug 25, 2012 Accepting new patients
William Beaumont Hospital Current Accepting new patients
University Physician Group Family Medicine CurrentSince Aug 25, 2012 Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Nov 6, 2007 Accepting new patients
Oakwood Ambulatory LLC Family Medicine CurrentSince Mar 30, 2019 Accepting new patients
William Beaumont Hospital Family Medicine CurrentSince Oct 24, 2014 Accepting new patients
Henry Ford Macomb Hospital Corporation Family Medicine CurrentSince Nov 6, 2007 Accepting new patients
Henry Ford Macomb Hospital Corporation Family Medicine Current Accepting new patients
Wellstreet Urgent Care of Michigan CurrentSince May 25, 2019 Accepting new patients
William Beaumont Hospital Current Accepting new patients
Oakwood Ambulatory, LLC CurrentSince Mar 30, 2019 Accepting new patients
William Beaumont Hospital CurrentSince Oct 24, 2014 Accepting new patients
David W. Calton, M.D., P.C. Family Medicine PastSince Mar 1, 2010 Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients

Locations

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

80650 Van Dyke Rd
Bruce Twp, MI 48065
Phone (810) 798-6410

6483 Citation Dr
Ste B
Clarkston, MI 48346
Phone (248) 861-0010

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

15400 W McNichols Rd
Detroit, MI 48235
Phone (313) 416-6262

468 Cadieux Rd
Grosse Pt Wds, MI 48230
Phone (313) 343-1000

15959 Hall Rd
Ste 104
Macomb, MI 48044
Phone (586) 884-2688

1135 W University Dr
Ste 250
Rochester Hills, MI 48307
Phone (248) 650-6301

3601 W 13 Mile Rd
Royal Oak, MI 48073

26001 Jefferson Ave
Saint Clair Shores, MI 48081
Phone (586) 779-7000

30503 Greenfield Rd
Southfield, MI 48076
Phone (248) 691-4732

25631 Little Mack Ave
Ste 104
St Clr Shores, MI 48081
Phone (586) 884-2727

43455 Schoenherr Rd
Sterling Hts, MI 48313
Phone (248) 373-7600

37771 Schoenherr Rd
Ste 104
Sterling Hts, MI 48312
Phone (810) 286-0050

43455 Schoenherr Rd
Ste 2
Sterling Hts, MI 48313
Phone (586) 884-2712

44250 Dequindre Rd
Sterling Hts, MI 48314
Phone (248) 964-0400

2078 E Big Beaver Rd
Troy, MI 48083
Phone (248) 855-4134

1560 E Maple Rd
Ste 400
Troy, MI 48083

Organizations & group practices 14

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 14

Hospital & facility affiliations 1

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1174524490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 E. MAPLE RD",
            "address_2": "SUITE 400- CREDENTIALING",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831189",
            "telephone_number": "248-581-5974",
            "fax_number": "248-581-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 W UNIVERSITY DR",
            "address_2": "SUITE 250",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071886",
            "telephone_number": "248-650-6301",
            "fax_number": "248-650-5486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFRY",
        "first_name": "SHEALA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301074850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4637861",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sjafry23072@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "1135 W University Dr",
            "address_2": "Suite 250",
            "city": "Rochester",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483071886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, MI

Sources for this page

Verify at the official NPI Registry.