Individual provider Active NPI

Shiva J Maralani, MD

  • Urology Physician
  • St Clair Shores, MI
National Provider Identifier
1497710982
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
4301060368 Issued in MI
Practice address
20952 E 12 Mile Rd
Suite 200
St Clair Shores, MI 48081-3200
Phone
(586) 771-4820
Fax
(586) 771-6620
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician 2088F0040X 4301060368 MI
Urology Physician 208800000X 4301060368 MI Primary

Addresses

Primary practice location

20952 E 12 Mile Rd
Suite 200
St Clair Shores, MI 48081-3200

Mailing address

20952 E 12 Mile Rd
Suite 200
St Clair Shores, MI 48081-3200
Phone (586) 771-4820

Other identifiers 6

IdentifierTypeStateIssuer
7738350002OtherMICIGNA
01004182OtherMIHEALTH PLUS
G78723OtherMIHAP
340014930OtherMIRAILROAD MEDICARE
124503OtherMIPRIORITY HEALTH
5124630OtherMIAETNA

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
I20050217000900 MI Practitioner - Urology 8426000415 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Loyola University of Chicago, Stritch School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Institute of Urology PCGroup PAC ID 1052223492, 82 clinicians
Henry Ford Semi Medical GroupGroup PAC ID 0648180406, shared by 4 NPIs, 246 clinicians

Practice addresses (Care Compare)

130 Town Ctr Dr
Troy, MI 48084-1744

1701 S Blvd E
Suite 340
Rochester Hills, MI 48307-6120
Phone (248) 293-1000

17900 23 Mile Rd
Macomb, MI 48044-1161
Phone (313) 647-3900

19991 Hall Rd
Suite 201
Macomb, MI 48044-4254
Phone (586) 228-0150

20952 E 12 Mile Rd
Suite 200
Saint Clair Shores, MI 48081-3203
Phone (586) 771-4820

29275 Northwestern Hwy
Suite 120
Southfield, MI 48034-1044
Phone 58677148202072

43650 Garfield Rd
Suite 102
Clinton Township, MI 48038-7419
Phone 58677148202072

Hospital & facility affiliations

  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165
  • Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047
  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195

Merit-based Incentive Payment System (MIPS)

Final score
92.35 of 100Reported as individual
Promoting interoperability
91
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301060368MIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physician Services of Michigan, P.C. Urology CurrentSince Jul 13, 1998 Accepting new patients
Seton Health Corporation of Southeastern Michigan CurrentSince Jul 1, 2015 Accepting new patients
Michigan Institute of Urology PC Urology CurrentSince Jul 13, 1998 Accepting new patients
Seton Health Corporation of Southeastern Michigan CurrentSince Jul 1, 2015 Accepting new patients

Locations

5701 Bow Pointe Dr
Ste 250
Clarkston, MI 48346
Phone (248) 620-6660

1 William Carls Dr
Ste 210
Commerce Twp, MI 48382
Phone (248) 387-2733

18100 Oakwood Blvd
Ste 315
Dearborn, MI 48124
Phone (313) 271-0066

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

19991 Hall Rd
Ste 201
Macomb, MI 48044
Phone (586) 228-0150

25500 Meadowbrook Rd
Ste 225
Novi, MI 48375
Phone (248) 426-1300

44200 Woodward Ave
Ste 207
Pontiac, MI 48341
Phone (248) 322-6103

1701 South Blvd E
Ste 340
Rochester Hills, MI 48307
Phone (248) 293-1000

22255 Greenfield Rd
Ste 550
Southfield, MI 48075
Phone (586) 226-6161

20952 E 12 Mile Rd
Ste 200
St Clr Shores, MI 48081
Phone (586) 771-4820

44344 Dequindre Rd
Ste 210
Sterling Heights, MI 48314
Phone (586) 323-4200

2128 W Jefferson Ave
Trenton, MI 48183
Phone (734) 676-4040

130 Town Center Dr
Ste 200
Troy, MI 48084
Phone (248) 740-0670

130 Town Center Dr
Ste 101
Troy, MI 48084
Phone (248) 740-0670

11051 Hall Rd
Ste 200
Utica, MI 48317
Phone (586) 254-5759

2300 Haggerty Rd
Ste 2000
West Bloomfield, MI 48323
Phone (248) 624-9900

Interoperability endpoints

  • Direct secure messaging: smaralani63327@direct.hfhs.org

Organizations & group practices 4

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 8

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1497710982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20952 E 12 MILE RD",
            "address_2": "SUITE 200",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "480813200",
            "telephone_number": "586-771-4820",
            "fax_number": "586-771-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20952 E 12 MILE RD",
            "address_2": "SUITE 200",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "480813200",
            "telephone_number": "586-771-4820",
            "fax_number": "586-771-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARALANI",
        "first_name": "SHIVA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088F0040X",
            "taxonomy_group": "",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "MI",
            "license": "4301060368",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "4301060368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7738350002",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "01004182",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "G78723",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "340014930",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "124503",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5124630",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.