NPIMap

Individual provider Active NPI

Maryum Shoukat

  • Internal Medicine Physician
  • Flint, MI
National Provider Identifier
1619536729
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301508082 Issued in MI
Practice address
2425 Austins Pkwy Ste 1
Flint, MI 48507-1344
Phone
(810) 238-8889
Fax
(866) 238-8889
NPI assigned
Jun 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 4301508082 MI
Internal Medicine Physician 207R00000X 4301508082 MI Primary

Addresses

Primary practice location

2425 Austins Pkwy Ste 1
Flint, MI 48507-1344

Mailing address

2425 Austins Pkwy Ste 1
Flint, MI 48507-1344
Phone (810) 238-8889

Other practice location 1

1525 W Caro Rd
Caro, MI 48723-9686
Phone (989) 860-0088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230621000383 MI Practitioner - Internal MedicinePractitioner - Neurology 1153789359 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Neurology
Education
University of Oklahoma College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shattuck Family Physicians PLLCGroup PAC ID 4486949807, 16 clinicians
Caro Express Clinic PLCGroup PAC ID 5294760922, 7 clinicians
Columbiaville Family Clinic PLLCGroup PAC ID 9133423890, 8 clinicians

Practice addresses (Care Compare)

1525 W Caro Rd
Shattuck Family Physicians
Caro, MI 48723-9686
Phone (989) 860-0088

2425 Austins Pkwy
Suite 1
Flint, MI 48507-1344
Phone (810) 238-8889

2575 McLeod Dr N
Suite a
Saginaw, MI 48604-2857
Phone (989) 797-5532

Hospital & facility affiliations

  • Mymichigan Medical Center Saginaw Hospital, Saginaw, MI, CCN 230077
  • Mymichigan Medical Center Midland Hospital, Midland, MI, CCN 230222
  • Covenant Medical Center Hospital, Saginaw, MI, CCN 230070
  • Hills & Dales General Hospital Hospital, Cass City, MI, CCN 231316
  • McLaren Caro Region Hospital, Caro, MI, CCN 231329
  • Tuscola County Medical Care Facility Nursing home, Caro, MI, CCN 235089
  • Majestic Care of Flushing Nursing home, Flushing, MI, CCN 235132

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301508082MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
S & K Care Everywhere PLLC Internal Medicine Current Accepting new patients
Shoukat & Kaneez Family Physicians PLLC Internal Medicine Current Accepting new patients
Columbiaville Family Clinic PLLC CurrentSince May 30, 2023 Accepting new patients
Caro Health Plaza PLC CurrentSince May 30, 2023 Accepting new patients
Caro Express Clinic PLC Internal Medicine CurrentSince Aug 4, 2023 Accepting new patients
Caro Health Plaza PLC Internal Medicine Current Accepting new patients
Shattuck Family Physicians PLLC Internal Medicine CurrentSince Apr 22, 2023 Accepting new patients
Saginaw Valley Walk in Clinic, PLLC CurrentSince May 30, 2023 Accepting new patients
St. Charles Family Clinic PLLC Past Accepting new patients
Edward Gomez-Seoane MD & Silvia Gomez-Seoane MD PC Internal Medicine PastSince Jan 10, 2011 Accepting new patients
Balance Rehab LLC PastSince Jan 22, 2023 Accepting new patients

Locations

1525 W Caro Rd
Ste A
Caro, MI 48723
Phone (989) 860-0088

1525 W Caro Rd
Caro, MI 48723
Phone (989) 672-2100

2425 Austins Pkwy
Ste 1
Flint, MI 48507
Phone (810) 238-8889

3020 Boardwalk Dr
Saginaw, MI 48603
Phone (989) 791-3852

2575 McLeod Dr N
Ste A
Saginaw, MI 48604
Phone (810) 631-4060

4046 Hess Ave
Saginaw, MI 48601
Phone (989) 372-1900

Interoperability endpoints

  • Direct secure messaging: maryum.shoukat.1@20296.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15478/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/20296/brand/1/csg/1/fhir/r4
  • Direct secure messaging: maryum.shoukat.1@15125.direct.athenahealth.com
  • Direct secure messaging: maryum.shoukat.1@15223.direct.athenahealth.com
  • Direct secure messaging: maryum.shoukat.1@17511.direct.athenahealth.com

Organizations & group practices 11

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 10

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": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1619536729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 AUSTINS PKWY STE 1",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071344",
            "telephone_number": "810-238-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 AUSTINS PKWY STE 1",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071344",
            "telephone_number": "810-238-8889",
            "fax_number": "866-238-8889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1525 W Caro Rd",
            "address_purpose": "LOCATION",
            "city": "Caro",
            "state": "MI",
            "postal_code": "487239686",
            "country_code": "US",
            "telephone_number": "989-860-0088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOUKAT",
        "first_name": "MARYUM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301508082",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301508082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.