Organization Active NPI

US Knee Center PLLC

  • Internal Medicine Physician
  • Southfield, MI
National Provider Identifier
1487168001
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
US KNEE CENTER PLLC
Practice address
24901 Northwestern Hwy Ste 113
Southfield, MI 48075-2200
Phone
(844) 700-9125
NPI assigned
Nov 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Mudessar Shah
Title
Administrator
Phone
(844) 700-9125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

24901 Northwestern Hwy Ste 113
Southfield, MI 48075-2200

Mailing address

24901 Northwestern Hwy Ste 113
Southfield, MI 48075-2200
Phone (844) 700-9125

Other practice location 1

45395 Hayes Rd
Shelby Township, MI 48315-6211
Phone (844) 700-9125

National Provider Directory

National Provider Directory

Locations

45395 Hayes Rd
Shelby Township, MI 48315
Phone (844) 700-9125

NPI Registry JSON

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1487168001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24901 NORTHWESTERN HWY STE 113",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752200",
            "telephone_number": "844-700-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24901 NORTHWESTERN HWY STE 113",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752200",
            "telephone_number": "844-700-9125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45395 Hayes Rd",
            "address_purpose": "LOCATION",
            "city": "Shelby Township",
            "state": "MI",
            "postal_code": "483156211",
            "country_code": "US",
            "telephone_number": "844-700-9125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "US KNEE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-17",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MUDESSAR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "844-700-9125"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.