Individual provider Active NPI

Nabeel Shabo, MD

  • Internal Medicine Physician
  • Southfield, MI
National Provider Identifier
1619177011
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301089948 Issued in MI
Practice address
22250 Providence Dr Ste 301a&B
Southfield, MI 48075-4825
Phone
(248) 849-3281
Fax
(248) 849-5449
NPI assigned
Jul 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301089948 MI Primary

Addresses

Primary practice location

22250 Providence Dr Ste 301a&B
Southfield, MI 48075-4825

Mailing address

22250 Providence Drive
Suite 301a
Southfield, MI 48075-6211
Phone (248) 849-3281

Other practice location 1

31500 Dequindre Rd
Ste 100
Warren, MI 48092-1057
Phone (586) 939-9500

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
I20101108001448 MI Practitioner - Internal MedicinePractitioner - Family Practice 5092900746 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Independent Hospitalist Physicians PLLCGroup PAC ID 3971874090, 61 clinicians

Practice addresses (Care Compare)

Sterling Heights, MI 48314
Phone (586) 214-4556

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 424-3000

16001 W 9 Mile Rd 3Rd FL
Providence Hospital Gastrology
Southfield, MI 48075-4818
Phone (248) 849-6033

16001 W 9 Mile Rd 3Rd Floor
Providence Hospital Gastrology
Southfield, MI 48075-4818
Phone (248) 849-6033

22250 Providence Dr
Southfield, MI 48075-6211

23874 Kean St
Dearborn, MI 48124-1851
Phone (248) 465-5140

47601 Grand River Ave
Novi, MI 48374-1233
Phone (248) 465-4100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301089948MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Michigan PC Internal Medicine CurrentSince Feb 4, 2016 Accepting new patients
Henry Ford Health Providence Hospital Internal Medicine CurrentSince Aug 1, 2017 Accepting new patients
Independent Hospitalist Physicians, PLLC Internal Medicine CurrentSince Jul 29, 2017 Accepting new patients
Henry Ford Health Providence Hospital Current Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Aug 1, 2017 Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients

Locations

1014 E Grand River Ave
Brighton, MI 48116
Phone (810) 220-5222

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

23874 Kean St
Ste 100
Dearborn, MI 48124
Phone (248) 865-9898

26750 Providence Pkwy
Ste 230
Novi, MI 48374
Phone (248) 465-5300

47601 Grand River Ave
Novi, MI 48374
Phone (248) 465-4100

3601 W 13 Mile Rd
Royal Oak, MI 48073

22250 Providence Dr
Ste 301
Southfield, MI 48075

22250 Providence Dr
Ste 301AB
Southfield, MI 48075

22250 Providence Dr
Ste 301A
Southfield, MI 48075
Phone (248) 849-3254

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

22250 Providence Dr
Ste 702
Southfield, MI 48075
Phone (248) 557-9650

Interoperability endpoints

  • Direct secure messaging: nshabo395737@direct.hfhs.org

Organizations & group practices 7

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 5

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": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1619177011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22250 PROVIDENCE DRIVE",
            "address_2": "SUITE 301A",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480756211",
            "telephone_number": "248-849-3281",
            "fax_number": "248-849-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22250 PROVIDENCE DR STE 301A&B",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754825",
            "telephone_number": "248-849-3281",
            "fax_number": "248-849-5449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31500 DEQUINDRE RD",
            "address_2": "STE 100",
            "address_purpose": "LOCATION",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480921057",
            "country_code": "US",
            "telephone_number": "586-939-9500",
            "fax_number": "586-939-9501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHABO",
        "first_name": "NABEEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301089948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.