Active NPI
Rubina Shaikh
- Family Medicine Physician
- Michigan Center, MI
National Provider Identifier
1659524429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301090621
- Practice address
- 4304 Page Ave
Michigan Center, MI 49254-1078 - Phone
- (517) 817-7582
- Fax
- (517) 817-7583
- NPI assigned
- Oct 24, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301090621 | MI | Primary |
Addresses
Primary practice location
4304 Page Ave
Michigan Center, MI 49254-1078
Mailing address
PO Box 67000
Dept 272801
Detroit, MI 48267-2728
Phone (517) 841-7490
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W. a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| Henry Ford Pathology | Current | Accepting new patients | |
| Wa Foote Memorial Hospital, Inc | Family Medicine | Current | Accepting new patients |
| W.a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| Wa Foote Memorial Hospital, Inc | Past | Accepting new patients |
Locations
3235 E Michigan Ave
Ste 100
Jackson, MI 49202
Phone (517) 205-3280
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
130 N Sherman St
Leslie, MI 49251
Phone (517) 205-2500
Interoperability endpoints
- rshaikh452691@direct.hfhs.org
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Jackson, MI
- NPI 1760437826
-
- Anatomic Pathology & Clinical Pathology Physician
- Detroit, MI
- NPI 1851410005
-
- Physician Assistant
- Jackson, MI
- NPI 1538606348
-
- Family Medicine Physician
- Jackson, MI
- NPI 1215974332
-
- Emergency Medicine Physician
- Jackson, MI
- NPI 1265487722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323216000000",
"number": "1659524429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 67000",
"address_2": "DEPT 272801",
"city": "DETROIT",
"state": "MI",
"postal_code": "482672728",
"telephone_number": "517-841-7490",
"fax_number": "517-841-6917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4304 PAGE AVE",
"city": "MICHIGAN CENTER",
"state": "MI",
"postal_code": "492541078",
"telephone_number": "517-817-7582",
"fax_number": "517-817-7583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAIKH",
"first_name": "RUBINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-24",
"last_updated": "2011-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301090621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Michigan Center, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.