Individual provider Active NPI

Muhammad Shoaib, M.D.

  • Nephrology Physician
  • Grand Rapids, MI
National Provider Identifier
1619540622
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
4301511028 Issued in MI
Practice address
330 E Beltline Ave NE
Grand Rapids, MI 49506-1267
Phone
(616) 752-6235
NPI assigned
Jul 19, 2021
Reactivated
May 11, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 4301511028 MI Primary

Addresses

Primary practice location

330 E Beltline Ave NE
Grand Rapids, MI 49506-1267

Mailing address

330 E Beltline Ave NE
Grand Rapids, MI 49506-1267

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
I20240321002394 MI Practitioner - Nephrology 2961849211 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Mary'S Health ServicesGroup PAC ID 4981500436, 175 clinicians
Renal Associates of West Michigan PCGroup PAC ID 2466348644, 20 clinicians

Practice addresses (Care Compare)

1000 Edison Ave NW
Christian Rest Home
Grand Rapids, MI 49504-3918
Phone (616) 453-2475

1010 Edison Ave NW
Edison Assisted Living Center
Grand Rapids, MI 49504-3918
Phone (616) 453-0581

200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Phone (616) 685-1835

330 E Beltline Ave NE
Suite 100
Grand Rapids, MI 49506-1267
Phone (616) 752-6235

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301511028MIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Mary'S Health Services CurrentSince Jun 1, 2024 Accepting new patients
Renal Associates of West Michigan PC Nephrology CurrentSince May 1, 2024 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Dec 15, 2025 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Dec 15, 2025 Accepting new patients
Saint Mary'S Health Services CurrentSince Jun 1, 2024 Accepting new patients
Advantage Health Saint Mary'S Medical Group Past Accepting new patients

Locations

310 Lafayette Ave SE
Grand Rapids, MI 49503
Phone (616) 685-3450

330 E Beltline Ave NE
Ste 100
Grand Rapids, MI 49506
Phone (616) 752-6235

330 E Beltline Ave NE
Grand Rapids, MI 49506
Phone (616) 752-6235

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

Interoperability endpoints

  • Direct secure messaging: mshoaib3384804@direct.trinity-health.org
  • Direct secure messaging: mshoaib61981@direct.acumenmd.com

Organizations & group practices 6

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 7

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": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1619540622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E BELTLINE AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E BELTLINE AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061267",
            "telephone_number": "616-752-6235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOAIB",
        "first_name": "MUHAMMAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-19",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "deactivation_date": "2023-03-31",
        "reactivation_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301511028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.