Individual provider Active NPI

Mohammad Kareem Shukairy, MD

  • Otolaryngology Physician
  • Burton, MI
National Provider Identifier
1497319347
Registry record updated Jun 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
4301513381 Issued in MI
Practice address
1501 S Center Rd
Burton, MI 48509-1731
Phone
(810) 742-0225
NPI assigned
Apr 25, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 4301513381 MI Primary

Addresses

Primary practice location

1501 S Center Rd
Burton, MI 48509-1731

Mailing address

1501 S Center Rd
Burton, MI 48509-1731
Phone (810) 742-0225

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250519000599 MI Practitioner - Ophthalmology 2860910395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesee ENT Associates PCGroup PAC ID 1153463765, 4 clinicians

Practice addresses (Care Compare)

1501 S Ctr Rd
BLDG B
Burton, MI 48509-1731
Phone (810) 742-0225

Hospital & facility affiliations

  • McLaren Flint Hospital, Flint, MI, CCN 230141
  • Hurley Medical Center Hospital, Flint, MI, CCN 230132
  • Ascension Genesys Hospital Hospital, Grand Blanc, MI, CCN 230197

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Genesee ENT Associates PC Single Specialty CurrentSince Apr 18, 2025 Accepting new patients
Premier Professional Surgery Center PC Single Specialty Past Accepting new patients

Locations

1501 S Center Rd
Bldg B
Burton, MI 48509
Phone (810) 742-0225

1501 S Center Rd
Burton, MI 48509
Phone (810) 715-7746

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751068800000",
    "number": "1497319347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091731",
            "telephone_number": "810-742-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091731",
            "telephone_number": "810-742-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUKAIRY",
        "first_name": "MOHAMMAD",
        "middle_name": "KAREEM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-25",
        "last_updated": "2025-06-28",
        "certification_date": "2025-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301513381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burton, MI

Sources for this page

Verify at the official NPI Registry.