NPIMap

Individual provider Active NPI

Mohammed Saifullah Shaik, M.D.

  • Internal Medicine Physician
  • Troy, MI
National Provider Identifier
1679764997
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301085490 Issued in MI
Practice address
44199 Dequindre Rd
Ste G-10
Troy, MI 48085-1128
Phone
(248) 964-6111
NPI assigned
Aug 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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 4301085490 MI Primary

Addresses

Primary practice location

44199 Dequindre Rd
Ste G-10
Troy, MI 48085-1128

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other practice location 1

One Hurley Plaza
Hurley Medical Center
Flint, MI 48503
Phone (810) 262-9353

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mshaik109947@epic00.corewelldirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081001000074 MI Practitioner - Internal MedicinePractitioner - Hematology/Oncology 4789752981 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology/Oncology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beaumont Medical Group- Specialty ServicesGroup PAC ID 7214299866, 868 clinicians

Practice addresses (Care Compare)

100 Michigan Ave NE
Grand Rapids, MI 49503-2560

28100 Grand River Ave
Farmington Hills, MI 48336-5970

3555 W 13 Mile Rd
Royal Oak, MI 48073-6710

3577 W 13 Mile Rd
Royal Oak, MI 48073-6710

3581 W 13 Mile Rd BCC
Beaumont Breast Care Center
Royal Oak, MI 48073-6710
Phone (248) 551-3300

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

3601 W 13 Mile Rd Ec
Beaumont Emergency Services Ro
Royal Oak, MI 48073-6712
Phone (248) 898-5058

44199 Dequindre Rd
Troy, MI 48085-1128

44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-0535

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151
  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Inpatient Physicians - Michigan, PLLC Internal Medicine CurrentSince Jan 1, 2019 Accepting new patients
Sparrow Ionia Hospital CurrentSince Jul 1, 2015 Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Jan 31, 2025 Accepting new patients
Sparrow Clinton Hospital CurrentSince Jul 1, 2015 Accepting new patients
Sparrow Clinton Hospital CurrentSince Jul 1, 2015 Accepting new patients
Covenant Medical Center, Inc Internal Medicine CurrentSince Jul 18, 2015 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Internal Medicine Current Accepting new patients
Covenant Medical Center, Inc. CurrentSince Jul 18, 2015 Accepting new patients
Sparrow Ionia Hospital CurrentSince Jul 1, 2015 Accepting new patients
William Beaumont Hospital Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

600 N Main St
Ste 220B
Frankenmuth, MI 48734
Phone (989) 583-6521

1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733

3565 S State Rd
Ionia, MI 48846
Phone (616) 523-1355

550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

3577 W 13 Mile Rd
#101
Royal Oak, MI 48073

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

44199 Dequindre Rd
Ste G10
Troy, MI 48085
Phone (248) 828-6111

Interoperability endpoints

  • Direct secure messaging: mshaik1878@direct.covenanthealthcare.com

Organizations & group practices 11

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 12

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1679764997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44199 DEQUINDRE RD",
            "address_2": "STE G-10",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851128",
            "telephone_number": "248-964-6111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "One Hurley Plaza",
            "address_2": "Hurley Medical Center",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "48503",
            "country_code": "US",
            "telephone_number": "810-262-9353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAIK",
        "first_name": "MOHAMMED SAIFULLAH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301085490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mshaik109947@epic00.corewelldirect.org",
            "affiliation": "N",
            "address_1": "44199 Dequindre Rd",
            "address_2": "Ste G-10",
            "city": "Troy",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480851128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.