NPIMap

Individual provider Active NPI

Bashar Shabb Qalieh, M.D.

  • Pediatrics Physician
  • Brighton, MI
National Provider Identifier
1649200627
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301061323 Issued in MI
Practice address
8550 W Grand River Ave
Suite 300
Brighton, MI 48116-4352
Phone
(810) 220-3700
Fax
(810) 220-1321
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301061323 MI Primary

Addresses

Primary practice location

8550 W Grand River Ave
Suite 300
Brighton, MI 48116-4352

Mailing address

8550 W Grand River Ave
Suite 300
Brighton, MI 48116-4352
Phone (810) 220-3700

Other identifiers 2

IdentifierTypeStateIssuer
BQ061323OtherMIBCBS OF MICHIGAN
4929561MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301061323MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Botsford General Hospital Pediatrics Past Accepting new patients
VHS Huron Valley-Sinai Hospital Inc Past Accepting new patients
Brighton Pediatric Center PLLC Pediatrics Past Accepting new patients
Brighton Pediatrics, P.C. Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bqalieh@direct.dmc.org
  • Direct secure messaging: bqalieh1251878@epic00.shdirect.org

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1649200627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 W GRAND RIVER AVE",
            "address_2": "SUITE 300",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481164352",
            "telephone_number": "810-220-3700",
            "fax_number": "810-220-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 W GRAND RIVER AVE",
            "address_2": "SUITE 300",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481164352",
            "telephone_number": "810-220-3700",
            "fax_number": "810-220-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QALIEH",
        "first_name": "BASHAR",
        "middle_name": "SHABB",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301061323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "BQ061323",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4929561",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.