NPIMap

Organization Active NPI

Jawad a Shah MD PC

  • Physical Therapy Clinic/Center
  • Flint, MI
National Provider Identifier
1447564166
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
JAWAD A SHAH MD PC
Practice address
4800 S Saginaw St
Suite 1625
Flint, MI 48507-2677
Phone
(810) 275-9610
NPI assigned
Aug 5, 2010
Organization subpart
Yes
Parent organization
JAWAD A SHAH MD PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Authorized official

Name
Robin Cole
Title
Billing Specialist
Phone
(810) 732-8336

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X
Physical Therapy Clinic/Center 261QP2000X Primary
Occupational Medicine Clinic/Center 261QX0100X

Addresses

Primary practice location

4800 S Saginaw St
Suite 1625
Flint, MI 48507-2677

Mailing address

4800 S Saginaw St
Suite 1805
Flint, MI 48507-2677
Phone (810) 275-9610

Other practice location 1

21230 Dequindre Rd
Warren, MI 48091-2279
Phone (810) 275-9333

Other names 2

  • Insight Comprehensive Therapy Doing business as
  • Insight Physcial Therapy & Neuro Rehab Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220608000460 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5799779633 Receives reassigned benefits from 5 practitioners
Practice locations: Flint, MI

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Jawad a Shah MD PC13 organizations share this tax ID, including this one
Part of
Jawad a Shah MD PC

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4800 S Saginaw St
Ste 1805
Flint, MI 48507
Phone (810) 275-9108

Practitioners & affiliated clinicians

Practitioners 90

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 90

NPI Registry JSON

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1447564166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 S SAGINAW ST",
            "address_2": "SUITE 1805",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072677",
            "telephone_number": "810-275-9610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 S SAGINAW ST",
            "address_2": "SUITE 1625",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072677",
            "telephone_number": "810-275-9610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21230 Dequindre Rd",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480912279",
            "country_code": "US",
            "telephone_number": "810-275-9333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JAWAD A SHAH MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JAWAD A SHAH MD PC",
        "enumeration_date": "2010-08-05",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "810-732-8336"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Insight Comprehensive Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Insight Physcial Therapy & Neuro Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Insight Physcial Therapy & Neuro Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.