Active NPI
Dinesh M Shah, MD
- Internal Medicine Physician
- Berkley, MI
National Provider Identifier
1184607129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301065276
- Practice address
- 2905 W 12 Mile Rd
Berkley, MI 48072 - Phone
- (248) 541-0770
- Fax
- (248) 541-6862
- NPI assigned
- Nov 23, 2005
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301065276 | MI | Primary |
Addresses
Primary practice location
2905 W 12 Mile Rd
Berkley, MI 48072
Mailing address
2905 W 12 Mile Rd
Berkley, MI 48072
Phone (248) 541-0770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3314795 | Medicaid | MI |
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
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14325 Middlebelt Rd
Livonia, MI 48154-4541
Phone (734) 427-9222
2905 W 12 Mile Rd
Berkley, MI 48072-1413
Phone (248) 541-0770
Hospital & facility affiliations
- Beaumont Hospital Royal Oak
- Beaumont Hospital - Farmington Hills
- Beaumont Hospital, Troy
Merit-based Incentive Payment System (MIPS)
- Final score
- 27.64 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 92.13
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 63 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301065276 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Physicians Group, PC | Current | Accepting new patients |
Locations
2905 W 12 Mile Rd
Berkley, MI 48072
Phone (248) 541-0770
14325 Middlebelt Rd
Livonia, MI 48154
Phone (734) 427-9222
1380 Coolidge Hwy
Troy, MI 48084
Phone (248) 288-4000
Interoperability endpoints
- dshah804529@direct.hfhs.org
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- Berkley, MI
- NPI 1518041052
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324512000000",
"number": "1184607129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2905 W 12 MILE RD",
"city": "BERKLEY",
"state": "MI",
"postal_code": "48072",
"telephone_number": "248-541-0770",
"fax_number": "248-541-6862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2905 W 12 MILE RD",
"city": "BERKLEY",
"state": "MI",
"postal_code": "48072",
"telephone_number": "248-541-0770",
"fax_number": "248-541-6862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "DINESH",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-23",
"last_updated": "2011-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301065276",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3314795",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Berkley, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.