Jawad A. Shah, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301082631 Issued in MI

Practice address

4800 S Saginaw St
Ste1800
Flint, MI 48507-2669

Phone

(810) 732-8336

Fax

(810) 239-4346

NPI assigned

Feb 3, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI, IL, OH3 enrollments

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 3

Specialty

Neurosurgery

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jawad a Shah MD PCGroup PAC ID 5799779633, 89 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southeast Michigan Surgical Hospital LLC Hospital, Warren, MI, CCN 230264
• McLaren Flint Hospital, Flint, MI, CCN 230141

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jawad.shah@insight.eclinicaldirectplus.com
• Direct secure messaging: jshah1150901@direct.hfhs.org

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Community Health Center of Branch County

  • General Acute Care Hospital
  • Coldwater, MI
  • NPI 1063471639

  Corporate Director

  CMS ownership
• Community Health Center of Branch County

  • Rural Health Clinic/Center
  • Union City, MI
  • NPI 1093751331

  Corporate Director

  CMS ownership
• Oakland Physicians Medical Center, LLC

  • Psychiatric Hospital
  • Pontiac, MI
  • NPI 1760631238

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Southeast Michigan Surgical Hospital, LLC

  • General Acute Care Hospital
  • Warren, MI
  • NPI 1962402354

  5% Or Greater Indirect Ownership Interest, Corporate Officer

  CMS ownership
• Insight Chicago, Inc.

  • Psychiatric Hospital Unit
  • Chicago, IL
  • NPI 1043297401

  Corporate Director

  CMS ownership
• Insight Chicago, Inc.

  • Rehabilitation Hospital Unit
  • Chicago, IL
  • NPI 1154308518

  Corporate Director

  CMS ownership
• Insight Chicago, Inc.

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1730166224

  Corporate Director

  CMS ownership
• Insight Foundation of Hillside

  • Rehabilitation Hospital
  • Warren, OH
  • NPI 1114753787

  Corporate Director

  CMS ownership
• Insight Foundation of Trumbull

  • Psychiatric Hospital Unit
  • Warren, OH
  • NPI 1770319451

  Corporate Director

  CMS ownership

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.

• Jawad a Shah, MD PC

  • Specialist
  • Flint, MI
  • NPI 1942402391
  Medicare reassignment Care Compare group Authorized official
• Community Health Center of Branch County

  • General Practice Physician
  • Coldwater, MI
  • NPI 1124055009
  Medicare reassignment NPD
• Insight Chicago, Inc.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1881261006

  Surgery

  Medicare reassignment NPD
• Insight Foundation of Trumbull

  • Internal Medicine Physician
  • Warren, OH
  • NPI 1265268957
  Medicare reassignment NPD
• Community Health Center of Branch County

  • Hematology & Oncology Physician
  • Coldwater, MI
  • NPI 1215964192
  NPD
• Community Health Center of Branch County

  • Internal Medicine Physician
  • Coldwater, MI
  • NPI 1306873286
  NPD
• Community Health Center of Branch County

  • Pediatric Adolescent Medicine Physician
  • Coldwater, MI
  • NPI 1619304458
  NPD
• Insight Anesthesia PLLC

  • Anesthesiology Physician
  • Flint, MI
  • NPI 1952775975
  NPD
• Insight Urgent Care PC

  • Durable Medical Equipment & Medical Supplies
  • Flint, MI
  • NPI 1457079584
  NPD
• Insight Urgent Care PC

  • Urgent Care Clinic/Center
  • Flint, MI
  • NPI 1548895550
  NPD
• Regio T Penna MD, PC

  • Specialist
  • Coldwater, MI
  • NPI 1245213537
  NPD
• Insight Chicago, Inc.

  • Rehabilitation Hospital Unit
  • Chicago, IL
  • NPI 1154308518
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• McLaren Flint

  • General Acute Care Hospital
  • Flint, MI
  • NPI 1902894512
  Care Compare affiliation
• Southeast Michigan Surgical Hospital, LLC

  • General Acute Care Hospital
  • Warren, MI
  • NPI 1962402354
  Care Compare affiliation

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240531200000",
    "number": "1427020452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 S SAGINAW ST",
            "address_2": "STE 1800",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072669",
            "telephone_number": "810-732-8336",
            "fax_number": "810-239-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 S SAGINAW ST",
            "address_2": "STE1800",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072669",
            "telephone_number": "810-732-8336",
            "fax_number": "810-239-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "JAWAD",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2009-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301082631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104552773",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Shaffer, DNP, APRN, FNP-BC
• Lauren Marjorie Shaffer, OD
• Shafi J Ahmed MD PC
• Shahin Shafiei, MD
• Anant M Shah, M.D.
• Krishna J Shah, M.D.
• Parmendra Shah, MD
• Purna Nandan Shah, DMD
• Tushar R Shah, M.D.
• Shaheen Mohammed MD PC

• Specialist in Flint, MI
• Providers in Flint, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.