Organization Active NPI

Shehada MD PLLC

  • Pulmonary Disease Physician
  • Rochester Hills, MI
National Provider Identifier
1255727483
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4301079678 Issued in MI
Legal business name
SHEHADA MD PLLC
Practice address
950 W Avon Rd
A2
Rochester Hills, MI 48307-2761
Phone
(248) 417-8675
Fax
(248) 650-1382
NPI assigned
Apr 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Authorized official

Name
Emad Rawhy Shehada, M.D.NPI 1770544785
Title
Owner
Phone
(248) 417-8675

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 4301079678 MI Primary

Addresses

Primary practice location

950 W Avon Rd
A2
Rochester Hills, MI 48307-2761

Mailing address

950 W Avon Rd
A2
Rochester Hills, MI 48307-2761
Phone (248) 417-8675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150623000458 MI Part B Supplier - Clinic/Group Practice 8729399431 Receives reassigned benefits from 1 practitioner
Practice locations: Troy, MI; Rochester Hills, MI; Rochester, MI; Pontiac, MI; Lapeer, MI; Lansing, MI

National Provider Directory

National Provider Directory

Locations

57850 Van Dyke Rd
Washington Twp, MI 48094
Phone (586) 207-1247

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1255727483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 W AVON RD",
            "address_2": "A2",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072761",
            "telephone_number": "248-417-8675",
            "fax_number": "248-650-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W AVON RD",
            "address_2": "A2",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072761",
            "telephone_number": "248-417-8675",
            "fax_number": "248-650-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEHADA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "SHEHADA",
        "authorized_official_first_name": "EMAD",
        "authorized_official_middle_name": "RAWHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-417-8675",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301079678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.