Individual provider Active NPI

Mahmoud Al-Shami, M.D.

  • Internal Medicine Physician
  • Troy, MI
National Provider Identifier
1639279458
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301074106 Issued in MI
Practice address
44201 Dequindre Rd
Troy, MI 48085-1117
Phone
(248) 691-8646
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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 4301074106 MI Primary

Addresses

Primary practice location

44201 Dequindre Rd
Troy, MI 48085-1117

Mailing address

6815 Oakman Blvd
Dearborn, MI 48126-1826
Phone (313) 407-6040

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
I20050119000557 MI Practitioner - Internal MedicinePractitioner - Geriatric Medicine 4688623465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silver Pine Medical Group PLCGroup PAC ID 8325020332, 39 clinicians

Practice addresses (Care Compare)

43455 Schoenherr Rd
Suite 2
Sterling Heights, MI 48313-1972
Phone (586) 726-4823

48801 Romeo Plank Rd
Suite 103
Macomb, MI 48044-2165
Phone (586) 726-4823

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301074106MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Pine Medical Group PLC CurrentSince Nov 1, 2017 Accepting new patients
William Beaumont Hospital Past Accepting new patients
Saint Joseph Regional Medical Center- Plymouth Campus Inc Internal Medicine Past Accepting new patients
Bayside Family Medicine Chesterfield PC PastSince Oct 6, 2009 Accepting new patients

Locations

31225 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 598-2900

36555 26 Mile Rd
Ste 2500
Lenox, MI 48048

48801 Romeo Plank Rd
Ste 103
Macomb, MI 48044

15959 Hall Rd
Ste 110
Macomb, MI 48044

13860 Canal Rd
Sterling Heights, MI 48313
Phone (248) 254-8900

43455 Schoenherr Rd
Ste 2
Sterling Hts, MI 48313
Phone (586) 884-2712

57850 Van Dyke Rd
Ste 600
Washington, MI 48094
Phone (586) 738-9448

57850 Van Dyke Rd
Ste 100
Washington Twp, MI 48094
Phone (586) 203-2020

Interoperability endpoints

  • Direct secure messaging: amahmoud652939@direct.hfhs.org
  • Direct secure messaging: mahmoudal-shami@spmgsh.allscriptsdirect.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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1639279458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6815 OAKMAN BLVD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261826",
            "telephone_number": "313-407-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44201 DEQUINDRE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851117",
            "telephone_number": "248-691-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-SHAMI",
        "first_name": "MAHMOUD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301074106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.