Individual provider Active NPI

Shakeeb Chinoy, M.D.

  • Family Medicine Physician
  • Bloomfield Hills, MI
National Provider Identifier
1457410912
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301087003 Issued in MI
Practice address
2211 S Telegraph Rd Unit 8056
Bloomfield Hills, MI 48302-4842
Phone
(313) 451-4191
NPI assigned
Dec 8, 2006
Last updated
Sep 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301087003 MI Primary
Pediatrics Physician 208000000X 4301087003 MI
Neurodevelopmental Disabilities Physician 2084P0005X 4301087003 MI
General Practice Physician 208D00000X 4301087003 MI

Addresses

Primary practice location

2211 S Telegraph Rd Unit 8056
Bloomfield Hills, MI 48302-4842

Mailing address

2211 S Telegraph Rd Unit 8056
Bloomfield Hills, MI 48302-4842

Other practice location 1

15255 Northline Rd
Southgate, MI 48195-2487
Phone (734) 285-3090

Other identifiers 2

IdentifierTypeStateIssuer
4301087003OtherLICENSE NUMBER
104815758MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301087003MIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ann Arbor Urgent Care, P.C Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1457410912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 S TELEGRAPH RD UNIT 8056",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483024842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 S TELEGRAPH RD UNIT 8056",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483024842",
            "telephone_number": "313-451-4191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15255 Northline Rd",
            "address_purpose": "LOCATION",
            "city": "Southgate",
            "state": "MI",
            "postal_code": "481952487",
            "country_code": "US",
            "telephone_number": "734-285-3090",
            "fax_number": "734-285-3095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHINOY",
        "first_name": "SHAKEEB",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301087003",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301087003",
            "primary": false
        },
        {
            "code": "2084P0005X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
            "state": "MI",
            "license": "4301087003",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301087003",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "4301087003",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104815758",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.