Individual provider Active NPI

Shatha Alkatib, MS, PA-C, MPH

  • Physician Assistant
  • Westland, MI
National Provider Identifier
1376948919
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601007139 Issued in MI
Practice address
34290 Ford Rd
Westland, MI 48185-3051
Phone
(313) 729-3643
NPI assigned
Oct 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601007139 MI Primary

Addresses

Primary practice location

34290 Ford Rd
Westland, MI 48185-3051

Mailing address

1560 E Maple Rd
Suite 400-Credentialing Dept
Troy, MI 48083-1138
Phone (313) 993-3434

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141124001169 MI Practitioner - Physician Assistant 8022330380 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychplus Associates of Michigan, PLLCGroup PAC ID 7911345764, 26 clinicians

Practice addresses (Care Compare)

126 College St
Suite a
Battle Creek, MI 49037-3461
Phone 8328694818235

1717 Shaffer St
Suite 209
Kalamazoo, MI 49048-1625
Phone 8328694818235

290 Town Ctr Dr
Suite 141
Dearborn, MI 48126-2739
Phone 8328694818235

5901 Chase Rd
Suite 210
Dearborn, MI 48126-0900
Phone (832) 869-4818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601007139MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Psychplus Associates of Michigan, PLLC Physician Assistant CurrentSince Dec 11, 2025 Accepting new patients
Team Mental Health Services Inc. CurrentSince Mar 6, 2024 Accepting new patients
Psychplus Medical Associates of Michigan, PLLC CurrentSince Dec 11, 2025 Accepting new patients
Access Ipa PastSince May 4, 2015 Accepting new patients
University Physician Group Past Accepting new patients
Simmons Medical Group PC Physician Assistant Past Accepting new patients
Team Mental Health Services Inc. Past Accepting new patients
Simmons Medical Group South Inc Past Accepting new patients

Locations

126 College St
Ste A
Battle Creek, MI 49037
Phone (269) 969-6000

290 Town Center Dr
Ste 400
Dearborn, MI 48126
Phone (248) 763-5289

5901 Chase Rd
Ste 210
Dearborn, MI 48126
Phone (313) 945-6650

290 Town Center Dr
Ste 141
Dearborn, MI 48126

2925 Russell St
Detroit, MI 48207
Phone (313) 462-4714

6309 Mack Ave
Detroit, MI 48207
Phone (313) 331-3435

34290 Ford Rd
Westland, MI 48185
Phone (734) 412-8800

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1376948919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 E MAPLE RD",
            "address_2": "SUITE 400-CREDENTIALING DEPT",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831138",
            "telephone_number": "313-993-3434",
            "fax_number": "313-993-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34290 FORD RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481853051",
            "telephone_number": "313-729-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALKATIB",
        "first_name": "SHATHA",
        "name_prefix": "Ms.",
        "credential": "MS, PA-C, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-24",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

Verify at the official NPI Registry.