Individual provider Active NPI

Christine S. Shina, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Novi, MI
National Provider Identifier
1558457994
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
4301080633 Issued in MI
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

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
493615410MedicaidMI
CS080633OtherCHAMPUS-CHAMPUS
700H262220OtherBLUE CROSS-BLUE CROSS
CS080633OtherCOMMERCIAL-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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061106000115 MI Practitioner - Internal Medicine 9638176613 Reassigns benefits to 2 organizations

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
Avalon Consultants PLLCGroup PAC ID 3072736511, 6 clinicians

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System CurrentSince Oct 23, 2006 Accepting new patients
Henry Ford Health System Internal Medicine CurrentSince Oct 23, 2006 Accepting new patients
Avalon Consultants PLLC CurrentSince Apr 19, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.