Active NPI
Christine S. Shina, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Novi, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 4301080633
- Practice address
- 25500 Meadowbrook Rd Ste 250
Novi, MI 48375-1883 - Phone
- (248) 277-3110
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301080633 | MI | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 4301080633 | MI | Primary |
Addresses
Primary practice location
25500 Meadowbrook Rd Ste 250
Novi, MI 48375-1883
Mailing address
25500 Meadowbrook Rd Ste 250
Novi, MI 48375-1883
Phone (248) 277-3110
Other practice location 1
6777 West Maple Road
Henry Ford West Bloomfield Hospital
West Bloomfield, MI 48322
Phone (248) 325-2277
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 493615410 | Medicaid | MI | |
| CS080633 | Other | CHAMPUS-CHAMPUS | |
| 700H262220 | Other | BLUE CROSS-BLUE CROSS | |
| CS080633 | Other | COMMERCIAL-COMMERCIAL NUMBER |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Wayne State University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25500 Meadowbrook Rd
Novi, MI 48375-1883
Phone (248) 277-3110
39550 Orchard Hill PL
Novi, MI 48375-5329
Phone (248) 277-3110
Hospital & facility affiliations
- The Medical Team
- Ascension Providence Hospital, Southfield and Novi
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health System | Current | Accepting new patients | |
| Henry Ford Health System | Internal Medicine | Current | Accepting new patients |
| Avalon Consultants PLLC | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients |
Locations
1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
21800 Haggerty Rd
Ste 113
Northville, MI 48167
Phone (734) 369-2100
25500 Meadowbrook Rd
Ste 250
Novi, MI 48375
Phone (248) 477-2200
25500 Meadowbrook Rd
Ste 150
Novi, MI 48375
Phone (248) 784-3667
6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000
Interoperability endpoints
- christineshinamd@avalonphysicianservices.direct.kno2fy.com
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.
-
- Family Medicine Physician
- Novi, MI
- NPI 1265859920
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1891702833
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Novi, MI
- NPI 1144210253
-
- Home Health Agency
- Livonia, MI
- NPI 1750316220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1558457994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25500 MEADOWBROOK RD STE 250",
"city": "NOVI",
"state": "MI",
"postal_code": "483751883",
"telephone_number": "248-277-3110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25500 MEADOWBROOK RD STE 250",
"city": "NOVI",
"state": "MI",
"postal_code": "483751883",
"telephone_number": "248-277-3110"
}
],
"practiceLocations": [
{
"address_1": "6777 West Maple Road",
"address_2": "Henry Ford West Bloomfield Hospital",
"address_purpose": "LOCATION",
"city": "West Bloomfield",
"state": "MI",
"postal_code": "48322",
"country_code": "US",
"telephone_number": "248-325-2277",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHINA",
"first_name": "CHRISTINE",
"middle_name": "S.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301080633",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MI",
"license": "4301080633",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "493615410",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS-CHAMPUS",
"identifier": "CS080633",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-BLUE CROSS",
"identifier": "700H262220",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL-COMMERCIAL NUMBER",
"identifier": "CS080633",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.