Individual provider Active NPI

Sheila Prasad Meftah, MD

  • Internal Medicine Physician
  • West Bloomfield, MI
National Provider Identifier
1659370815
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
SM407554 Issued in MI
Practice address
33200 W 14 Mile Rd
Suite 200
West Bloomfield, MI 48322-3549
Phone
(248) 737-2402
Fax
(248) 737-2501
NPI assigned
Jul 19, 2005
Last updated
Feb 15, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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 SM407554 MI Primary

Addresses

Primary practice location

33200 W 14 Mile Rd
Suite 200
West Bloomfield, MI 48322-3549

Mailing address

30349 Kingsway Dr
Farmington Hills, MI 48331-1680
Phone (248) 737-2402

Other identifiers 3

IdentifierTypeStateIssuer
414872310MedicaidMI
1106335411OtherMIBCBS OF MI
383487089OtherMICOMMERCIAL

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
I20080215000049 MI Practitioner - Internal Medicine 8325121270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

33200 W 14 Mile Rd
Suite 200
West Bloomfield, MI 48322-3586
Phone (248) 737-2402

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SM407554MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sheila P Meftah, MD, PLLC Internal Medicine CurrentSince Nov 1, 1999 Accepting new patients

Locations

33200 W 14 Mile Rd
Ste 200
West Bloomfield, MI 48322
Phone (248) 737-2402

Interoperability endpoints

  • Direct secure messaging: meftah.sheila.001.0220009@shme.meditab.direct-ci.com
  • Direct secure messaging: smeftah@direct.dmc.org

Organizations & group practices 1

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1659370815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30349 KINGSWAY DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483311680",
            "telephone_number": "248-737-2402",
            "fax_number": "248-737-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33200 W 14 MILE RD",
            "address_2": "SUITE 200",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223549",
            "telephone_number": "248-737-2402",
            "fax_number": "248-737-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASAD MEFTAH",
        "first_name": "SHEILA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "SM407554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "414872310",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "1106335411",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "383487089",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.