Steven Adam Shanbom, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301054486 Issued in MI

Practice address

28747 Woodward Ave
Berkley, MI 48072-0914

Phone

(248) 546-2133

Fax

(248) 546-6036

NPI assigned

Aug 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

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

Specialty

Ophthalmology

Education

Wayne State University School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spiro and Shanbom MD PCGroup PAC ID 1254324296, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.47 of 100Reported as group

Quality

100

Improvement activities

40

Cost

78.22

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Spiro and Shanbom MD PC

  dba Shanbom Eye Specialist

  • Specialist
  • Berkley, MI
  • NPI 1184845331
  Medicare reassignment Care Compare group NPD Authorized official
• Beaumont Medical Group- Specialty Services

  • Surgery Physician
  • Royal Oak, MI
  • NPI 1578072906
  Medicare reassignment NPD
• Cataract Specialty Surgical Center, LLC

  • Certified Registered Nurse Anesthetist
  • Berkley, MI
  • NPI 1396171773
  NPD
• Cataract Specialty Surgical Center, LLC

  dba Cataract specialty surgical center

  • Ambulatory Surgical Clinic/Center
  • Berkley, MI
  • NPI 1528061918

  Ophthalmology

  NPD

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1265433742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28747 WOODWARD AVE",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480720914",
            "telephone_number": "248-546-2133",
            "fax_number": "248-546-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28747 WOODWARD AVE",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480720914",
            "telephone_number": "248-546-2133",
            "fax_number": "248-546-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANBOM",
        "first_name": "STEVEN",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301054486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "18-0-63-8385-1",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5888141",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P43246",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARECHOICES",
            "identifier": "131574",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "18-0-63-2464-1",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "0980023",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alka Yatrik Shah, MD
• Dinesh M Shah, MD
• Rita Shah, MD
• Yaser Shaheen, DMD
• Samer G. Shamoon, D.D.S.
• Kruthika Shanmugam, M.D.
• Arica Sheff
• Sherin John DDS PLLC
• Sherwood Counseling, LLC
• Mazen Shoukfeh, M.D.

• Ophthalmology Physician in Berkley, MI
• Providers in Berkley, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.

Verify at the official NPI Registry.