Active NPI
Umer Nisar Sheikh, MD
- Anatomic Pathology & Clinical Pathology Physician
- Detroit, MI
National Provider Identifier
1316202997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 4301095925
- Practice address
- 22101 Moross Rd # CCB-SB
St. John Hospital & Medical Center, Dept of Pathology
Detroit, MI 48236-2148 - Phone
- (313) 343-3133
- Fax
- (313) 881-4727
- NPI assigned
- Jul 10, 2012
- Last updated
- Jul 10, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 4301095925 | MI | Primary |
Addresses
Primary practice location
22101 Moross Rd # CCB-SB
St. John Hospital & Medical Center, Dept of Pathology
Detroit, MI 48236-2148
Mailing address
22101 Moross Rd, CCB-SB
St. John Hospital & Medical Center, Dept of Pathology
Detroit, MI 48225
Phone (313) 343-3133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301095925 | MI | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341878400000",
"number": "1316202997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22101 MOROSS RD, CCB-SB",
"address_2": "ST. JOHN HOSPITAL & MEDICAL CENTER, DEPT OF PATHOLOGY",
"city": "DETROIT",
"state": "MI",
"postal_code": "48225",
"telephone_number": "313-343-3133",
"fax_number": "313-881-4727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22101 MOROSS RD # CCB-SB",
"address_2": "ST. JOHN HOSPITAL & MEDICAL CENTER, DEPT OF PATHOLOGY",
"city": "DETROIT",
"state": "MI",
"postal_code": "482362148",
"telephone_number": "313-343-3133",
"fax_number": "313-881-4727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEIKH",
"first_name": "UMER",
"middle_name": "NISAR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-10",
"last_updated": "2012-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MI",
"license": "4301095925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.