Individual provider Active NPI

Harris Ayub Shaikh, M.D.

  • Family Medicine Physician
  • Cassopolis, MI
National Provider Identifier
1316398365
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301117530 Issued in MI
Practice address
261 M 62
Cassopolis, MI 49031-1034
Phone
(269) 445-3874
Fax
(269) 445-2076
NPI assigned
Jun 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301117530 MI Primary

Addresses

Primary practice location

261 M 62
Cassopolis, MI 49031-1034

Mailing address

261 M 62
Cassopolis, MI 49031-1034
Phone (269) 445-3874

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
I20191120002802 MI Practitioner - Family Practice 1456646801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeland Immediate Care CenterGroup PAC ID 2264423771, 23 clinicians

Practice addresses (Care Compare)

261 M
Suite 62
Cassopolis, MI 49031-1034
Phone (269) 445-3874

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Immediate Care Center Family Medicine CurrentSince Sep 16, 2019 Accepting new patients
Lakeland Immediate Care Center CurrentSince Sep 16, 2019 Accepting new patients

Locations

261 M 62
Cassopolis, MI 49031
Phone (269) 445-3874

1951 Oak St
Niles, MI 49120
Phone (269) 262-4749

Interoperability endpoints

  • Direct secure messaging: hshaikh1271907@epic00.shdirect.org
  • Direct secure messaging: hshaikh35408@lakeland.midirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1316398365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 M 62",
            "city": "CASSOPOLIS",
            "state": "MI",
            "postal_code": "490311034",
            "telephone_number": "269-445-3874",
            "fax_number": "269-445-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 M 62",
            "city": "CASSOPOLIS",
            "state": "MI",
            "postal_code": "490311034",
            "telephone_number": "269-445-3874",
            "fax_number": "269-445-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAIKH",
        "first_name": "HARRIS",
        "middle_name": "AYUB",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-30",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301117530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cassopolis, MI

Sources for this page

Verify at the official NPI Registry.