Individual provider Active NPI

Aman Khaled Shukairy, MD

  • Ophthalmology Physician
  • Flint, MI
National Provider Identifier
1205046331
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301087660 Issued in MI
Practice address
1160 S Linden Rd
Flint, MI 48532-3437
Phone
(810) 820-8230
Fax
(810) 820-8937
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301087660 MI Primary

Addresses

Primary practice location

1160 S Linden Rd
Flint, MI 48532-3437

Mailing address

1560 E Maple Rd
Suite 400-Credentialing
Troy, MI 48083-1138
Phone (248) 581-5976

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
I20101011001185 MI Practitioner - Ophthalmology 1153513973 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1160 S Linden Rd
Flint, MI 48532-3437
Phone (810) 820-8230

Merit-based Incentive Payment System (MIPS)

Final score
96.19 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
83.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery127

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301087660MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Group Ophthalmology CurrentSince Jun 1, 2010 Accepting new patients
Premier Professional Surgery Center PC CurrentSince Feb 1, 2020 Accepting new patients
University Physician Group CurrentSince Jun 1, 2010 Accepting new patients
Premier Eye Specialists PLLC CurrentSince Feb 2, 2016 Accepting new patients

Locations

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

4717 Saint Antoine St
Detroit, MI 48201
Phone (313) 577-7614

1160 S Linden Rd
Flint, MI 48532
Phone (810) 820-8230

5014 Villa Linde Pkwy
Flint, MI 48532
Phone (810) 275-9108

1160 S Linden Rd
Bldg A
Flint, MI 48532

1560 E Maple Rd
Ste 400
Troy, MI 48083

1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200

Interoperability endpoints

  • Direct secure messaging: ashukairy1151247@direct.hfhs.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1205046331",
    "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": "480831138",
            "telephone_number": "248-581-5976",
            "fax_number": "248-581-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323437",
            "telephone_number": "810-820-8230",
            "fax_number": "810-820-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUKAIRY",
        "first_name": "AMAN",
        "middle_name": "KHALED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301087660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.