Paul S Shabou, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301510215 Issued in MI

Practice address

1545 N Wixom Rd
Wixom, MI 48393-1411

Phone

(248) 833-6343

Fax

(248) 997-7672

NPI assigned

Jun 12, 2021

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

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

Family Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AEIEDD/Endpoint/AEIEDD

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.

• Papnez PLLC

  • Family Medicine Physician
  • Wixom, MI
  • NPI 1326890666
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1623456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1346818846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 N WIXOM RD",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483931411",
            "telephone_number": "248-833-6343",
            "fax_number": "248-997-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 N WIXOM RD",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483931411",
            "telephone_number": "248-833-6343",
            "fax_number": "248-997-7672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHABOU",
        "first_name": "PAUL",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-12",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301510215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Second Chance Assisted Living
• Ranjan Sen, OTR
• Serenity at Home, LLC
• Jason Alexander Setsuda, D.O.
• Nadia Shaba
• Elvira Shani
• Benjamin Shaw
• Maria Sheehy, LMSW
• Rekha Shenoy
• Benjamin W Sheppard, IONM

• Family Medicine Physician in Wixom, MI
• Providers in Wixom, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.