Individual provider Active NPI

Wad Adel Elsheikh

  • Pediatrics Physician
  • Flint, MI
National Provider Identifier
1215514906
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301512566 Issued in MI
Practice address
1 Hurley Plaza, Flint, Mi 48503.
Flint, MI 48503
Phone
(810) 262-9000
NPI assigned
Mar 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301512566 MI Primary

Addresses

Primary practice location

1 Hurley Plaza, Flint, Mi 48503.
Flint, MI 48503

Mailing address

1 Hurley Plaza, Flint, Mi 48503.
Flint, MI 48503
Phone (810) 262-9000

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
I20241009001724 MI Practitioner - Pediatric Medicine 3971034315 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301512566MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Bay Health Centers CurrentSince Oct 21, 2024 Accepting new patients
Great Lakes Bay Health Centers CurrentSince Oct 21, 2024 Accepting new patients
Great Lakes Bay Health Centers Past Accepting new patients

Locations

3884 Monitor Rd
Bay City, MI 48706
Phone (989) 671-2000

501 Lapeer Ave
Saginaw, MI 48607
Phone (989) 753-6000

501 Lapeer Ave
#R
Saginaw, MI 48607
Phone (989) 753-6000

700 Court St
Saginaw, MI 48602
Phone (989) 907-2761

Interoperability endpoints

  • Direct secure messaging: wad.elsheikh.1@27771.direct.athenahealth.com

Organizations & group practices 3

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": "1616803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1215514906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HURLEY PLAZA, FLINT, MI 48503.",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48503",
            "telephone_number": "810-262-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HURLEY PLAZA, FLINT, MI 48503.",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48503",
            "telephone_number": "810-262-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSHEIKH",
        "first_name": "WAD",
        "middle_name": "ADEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-27",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301512566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.