Individual provider Active NPI

Subhi Sbahi, M.D.

  • Cardiovascular Disease Physician
  • Roseville, MI
National Provider Identifier
1306843412
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301062674 Issued in MI
Practice address
18303 E 10 Mile Rd
Suite 100
Roseville, MI 48066-4988
Phone
(586) 776-8877
Fax
(586) 776-3092
NPI assigned
Jul 5, 2005
Last updated
Feb 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301062674 MI Primary

Addresses

Primary practice location

18303 E 10 Mile Rd
Suite 100
Roseville, MI 48066-4988

Mailing address

18303 E 10 Mile Rd
Suite 100
Roseville, MI 48066-4988
Phone (586) 776-8877

Other identifiers 8

IdentifierTypeStateIssuer
P113708OtherMIBLUE CARE NETWORK
127403OtherMIMERCY HEALTH PLANS
5190207OtherMAAETNA
127403OtherMICARE CHOICES
60054912OtherMIRAILROAD MEDICARE
4138351-10MedicaidMI
M018365OtherMACHAMPUS
0E01050OtherMIBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ssbahi61444@direct.hfhs.org Henry Ford Macomb Hospital Corporation

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
I20050329000725 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 0244286615 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Institute of Michigan, P.C.Group PAC ID 1052380219, 10 clinicians

Practice addresses (Care Compare)

15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone (586) 263-2300

18303 E 10 Mile Rd
Suite 100
Roseville, MI 48066-4989
Phone (586) 776-8877

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting37
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital CurrentSince Jan 1, 1999 Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Jan 1, 2016 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Jan 1, 1999 Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Jan 1, 2016 Accepting new patients
Cardiovascular Institute of Michigan, P.C. Cardiovascular Disease CurrentSince Apr 1, 1999 Accepting new patients
Eds Associates Cardiovascular Disease Past Accepting new patients
Preventive Cardiovascular Institute PLLC Cardiovascular Disease PastSince Apr 1, 1999 Accepting new patients

Locations

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

22201 Moross Rd
Ste 70
Grosse Pointe, MI 48236
Phone (313) 343-3700

26755 Ballard St
Harrison Twp, MI 48045
Phone (586) 465-5501

215 North Ave
Mount Clemens, MI 48043
Phone (586) 307-9010

18303 E 10 Mile Rd
Ste 100
Roseville, MI 48066
Phone (586) 776-8877

11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000

Interoperability endpoints

  • Direct secure messaging: ssbahi61444@direct.hfhs.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1306843412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18303 E 10 MILE RD",
            "address_2": "SUITE 100",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664988",
            "telephone_number": "586-776-8877",
            "fax_number": "586-776-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18303 E 10 MILE RD",
            "address_2": "SUITE 100",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664988",
            "telephone_number": "586-776-8877",
            "fax_number": "586-776-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SBAHI",
        "first_name": "SUBHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301062674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P113708",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY HEALTH PLANS",
            "identifier": "127403",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5190207",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "127403",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "60054912",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4138351-10",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "M018365",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0E01050",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssbahi61444@direct.hfhs.org",
            "affiliation": "Y",
            "affiliationName": "Henry Ford Macomb Hospital Corporation",
            "address_1": "15855 19 Mile Rd",
            "city": "Clinton Twp",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480383504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

Verify at the official NPI Registry.