Hussein Mohamad Shukr, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301510164 Issued in MI

Practice address

205 N East Ave
Jackson, MI 49201-1753

Phone

(517) 205-4800

NPI assigned

Mar 25, 2021

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hshukr729685@direct.hfhs.org

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.

• Oncall Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Dearborn Heights, MI
  • NPI 1306709241
  Medicare reassignment NPD Authorized official
• Get Well Urgent Care Dearborn Heights PLC

  • Urgent Care Clinic/Center
  • Dearborn Heights, MI
  • NPI 1871204578

  Internal Medicine

  Medicare reassignment NPD
• Get Well Urgent Care Dearborn PLC

  • Urgent Care Clinic/Center
  • Dearborn, MI
  • NPI 1942936307
  Medicare reassignment NPD
• Hoover Urgent Care of Warren PLLC

  • Urgent Care Clinic/Center
  • Warren, MI
  • NPI 1821351610
  Medicare reassignment NPD
• Southfield City Urgent Care PC

  • Urgent Care Clinic/Center
  • Southfield, MI
  • NPI 1811278716
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  MI

  Medicare reassignment NPD
• Oncall Medical Group PLLC

  • Internal Medicine Physician
  • Dearborn Heights, MI
  • NPI 1023972635
  NPD Authorized official

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1417534561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7319 OAKMAN BLVD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261526",
            "telephone_number": "313-995-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N EAST AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011753",
            "telephone_number": "517-205-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUKR",
        "first_name": "HUSSEIN",
        "middle_name": "MOHAMAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-25",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301510164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicia C Showerman, RN
• Joseph Melvin Showerman II, LLC
• Emily Shriner, PT
• Jeffrey H Shuhaiber, MD
• Fatima Mohamad Shukr, DDS
• Barbara H Shumard, LMSW
• Karlie Renae Shumway, MD
• Rebekah Anne Shurboff
• Lauren Siciliano
• Sidney J. Zuzelski OD PC

• Internal Medicine Physician in Jackson, MI
• Providers in Jackson, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.