Organization Active NPI

Brighton Internal Medicine PLLC

  • Internal Medicine Physician
  • Howell, MI
National Provider Identifier
1710018569
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BRIGHTON INTERNAL MEDICINE PLLC
Practice address
1225 S Latson Rd Ste 200
Howell, MI 48843-7660
Phone
(810) 494-6800
Fax
(517) 338-2411
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Authorized official

Name
Dr. Syed Shahab, M.D.NPI 1912940123
Title
Owner
Phone
(810) 494-6800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1225 S Latson Rd Ste 200
Howell, MI 48843-7660

Mailing address

2305 Genoa Business Park Drive
Suite 120
Brighton, MI 48114
Phone (810) 494-6898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040908000036 MI Part B Supplier - Clinic/Group Practice 4688640089 Receives reassigned benefits from 3 practitioners
Practice locations: Howell, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1031704Brighton Internal Medicine1225 S Latson Road Suite 200, Howell, MI 48843Certificate of waiverOct 6, 2026

National Provider Directory

National Provider Directory

Locations

7575 Grand River Rd
Ste 114
Brighton, MI 48114
Phone (810) 844-7576

2305 Genoa Business Park Dr
#D
Brighton, MI 48114
Phone (810) 494-2020

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26515/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1710018569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 GENOA BUSINESS PARK DRIVE",
            "address_2": "SUITE 120",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "48114",
            "telephone_number": "810-494-6898",
            "fax_number": "810-229-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 S LATSON RD STE 200",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488437660",
            "telephone_number": "810-494-6800",
            "fax_number": "517-338-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTON INTERNAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "SHAHAB",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-494-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.