Active NPI
Sabin Gunjan Shah, M.D.
- Orthopaedic Surgery Physician
- Warren, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 4301502067
- Practice address
- 11012 E 13 Mile Rd Ste 210
Warren, MI 48093-2547 - Phone
- (556) 582-0760
- Fax
- (586) 582-5729
- NPI assigned
- Apr 10, 2015
- Last updated
- Oct 23, 2024
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 4301502067 | MI | Primary |
Addresses
Primary practice location
11012 E 13 Mile Rd Ste 210
Warren, MI 48093-2547
Mailing address
11012 E 13 Mile Rd Ste 112
Warren, MI 48093-2546
Phone (586) 573-8890
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
- Orthopedic Surgery
- Education
- Howard University College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22401 Foster Winter Dr
FL 2
Southfield, MI 48075-3724
Phone (248) 485-8300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mymichigan Medical Center Clare | Current | Accepting new patients | |
| Michigan Surgery Specialists, P.C. | Orthopaedic Surgery | Current | Accepting new patients |
| Mymichigan Medical Center Clare | Current | Accepting new patients | |
| Michigan Surgery Specialists, P.C. | Current | Accepting new patients |
Locations
315 E Warwick Dr
Ste B
Alma, MI 48801
Phone (989) 466-2663
602 Beech St
Ste 3100
Clare, MI 48617
Phone (989) 802-5020
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
4851 E Pickard St
Mt Pleasant, MI 48858
Phone (989) 772-3009
22401 Foster Winter Dr
Fl 2
Southfield, MI 48075
Phone (248) 423-5120
11012 E 13 Mile Rd
Ste 112
Warren, MI 48093
Phone (586) 573-6880
11012 E 13 Mile Rd
Ste 201
Warren, MI 48093
Phone (586) 582-0760
11012 E 13 Mile Rd
Ste 210
Warren, MI 48093
Phone (556) 582-0760
31201 Chicago Rd S
Ste C302
Warren, MI 48093
Interoperability endpoints
- sshah@msspc.emadirect.md
- sshah117000@mymichiganhealth.midirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Clare, MI
- NPI 1134394026
-
dba Motus Rehabilitation
- Prosthetic/Orthotic Supplier
- Farmington Hills, MI
- NPI 1700624079
-
dba MidMichigan Urgent Care - Clare
- Urgent Care Clinic/Center
- Clare, MI
- NPI 1225081862
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Surgeons Choice Dearborn Center
- Diagnostic Radiology Physician
- Dearborn, MI
- NPI 1285906792
Hospital
-
dba Surgeons Choice Imaging Center
- Diagnostic Radiology Physician
- Warren, MI
- NPI 1477722585
Hospital
-
dba Surgeons Choice Macomb Center
- Ambulatory Surgical Clinic/Center
- Warren, MI
- NPI 1619969540
Hospital
-
dba Oakland Regional Hospital
- Rehabilitation Hospital Unit
- Southfield, MI
- NPI 1730337601
-
dba Surgeons Choice Medical Center
- General Acute Care Hospital
- Southfield, MI
- NPI 1790785095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1619363264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11012 E 13 MILE RD STE 112",
"city": "WARREN",
"state": "MI",
"postal_code": "480932546",
"telephone_number": "586-573-8890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11012 E 13 MILE RD STE 210",
"city": "WARREN",
"state": "MI",
"postal_code": "480932547",
"telephone_number": "556-582-0760",
"fax_number": "586-582-5729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "SABIN",
"middle_name": "GUNJAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-10",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "4301502067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.