Active NPI
Nabeel Shabo, MD
- Internal Medicine Physician
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301089948
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4301089948 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Consultants of Michigan PC | Internal Medicine | Current | Accepting new patients |
| Henry Ford Health Providence Hospital | Internal Medicine | Current | Accepting new patients |
| Independent Hospitalist Physicians, PLLC | Internal Medicine | Current | Accepting new patients |
| Henry Ford Health Providence Hospital | Current | Accepting new patients | |
| Henry Ford Health Providence Hospital | Current | 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
- 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.
-
- Surgery Physician
- Southfield, MI
- NPI 1942265236
-
- Hospitalist Physician
- Southfield, MI
- NPI 1851820641
Internal Medicine
-
- Primary Care Clinic/Center
- Southfield, MI
- NPI 1851752331
-
- Hospitalist Physician
- Livonia, MI
- NPI 1861442824
Internal Medicine
-
- Pediatrics Physician
- Southfield, MI
- NPI 1265497226
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1922063213
-
- General Acute Care Hospital
- Novi, MI
- NPI 1144210253
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Novi, MI
- NPI 1144210253
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.