Shadi M Bashour, DO

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

DO37715 Issued in SC

Practice address

1100 E Cheves St
Florence, SC 29506-2708

Phone

(843) 669-6694

Fax

(843) 669-2500

NPI assigned

Jun 30, 2010

Last updated

Feb 1, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

NephrologyAlso: Internal Medicine

Education

Michigan State University College of Osteopathic Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Macomb Internal Medicine PCGroup PAC ID 2961468723, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• FMC Dialysis - Romeo Plank Dialysis facility, Macomb, MI, CCN 232523
• Fresenius Dialysis Services of Shelby Dialysis facility, Shelby Township, MI, CCN 232627
• Heritage Dialysis Dialysis facility, Fenton, MI, CCN 232746
• McLaren Macomb Hospital, Mount Clemens, MI, CCN 230227
• Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047
• Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sbashour734179@direct.hfhs.org
• Direct secure messaging: shadi.bashour.1@31117.direct.athenahealth.com
• Direct secure messaging: shadibashour@mrhmdpc.allscriptsdirect.net

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.

• Macomb Internal Medicine PC

  • Internal Medicine Physician
  • Clinton TWP, MI
  • NPI 1639266885
  Medicare reassignment Care Compare group NPD
• Kidney Consultants of Michigan PC

  • Nephrology Physician
  • Roseville, MI
  • NPI 1932396496
  Medicare reassignment NPD
• Sound Inpatient Physicians-Michigan, PLLC

  • Internal Medicine Physician
  • Kalamazoo, MI
  • NPI 1093967861
  Medicare reassignment NPD
• Advanced Nutrition Consultants Inc

  • Renal Nutrition Registered Dietitian
  • Rock Hill, SC
  • NPI 1700204526
  NPD
• Michael R Hourani MD PC

  • Nephrology Physician
  • Lansing, MI
  • NPI 1922021930
  NPD
• Sound Inpatient Physicians - Michigan, PLLC

  dba Sound Physicians

  • Hospitalist Physician
  • Escanaba, MI
  • NPI 1366768178

  Internal Medicine

  NPD

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

• Bio-Medical Applications of Michigan, Inc.

  dba Fresenius Dialysis Services of Shelby

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Shelby Township, MI
  • NPI 1073603577

  Dialysis facility

  Care Compare affiliation Name & address match
• Bio-Medical Applications of Michigan, Inc.

  dba FMC Dialysis Services Romeo Plank

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Macomb, MI
  • NPI 1962517706

  Dialysis facility

  Care Compare affiliation Name & address match
• Heritage Home Dialysis LLC

  dba Heritage Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fenton, MI
  • NPI 1144820226

  Dialysis facility

  Care Compare affiliation Name & address match
• Henry Ford Macomb Hospital Corporation

  dba Henry Ford Health Macomb Hospital

  • General Acute Care Hospital
  • Clinton TWP, MI
  • NPI 1023114634
  Care Compare affiliation
• Henry Ford Macomb Hospital Corporation

  • General Acute Care Hospital
  • Warren, MI
  • NPI 1902842735
  Care Compare affiliation
• McLaren Macomb

  • Psychiatric Hospital Unit
  • Shelby Township, MI
  • NPI 1184206385
  Care Compare affiliation
• McLaren Macomb

  • General Acute Care Hospital
  • Mount Clemens, MI
  • NPI 1316938327
  Care Compare affiliation
• William Beaumont Hospital

  dba Beaumont Hospital, Troy

  • General Acute Care Hospital
  • Troy, MI
  • NPI 1306825997
  Care Compare affiliation

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1710298153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S RAVENEL ST STE 120",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062619",
            "telephone_number": "843-777-7290",
            "fax_number": "843-777-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E CHEVES ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062708",
            "telephone_number": "843-669-6694",
            "fax_number": "843-669-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHOUR",
        "first_name": "SHADI",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-30",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101018765",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "DO37715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "prakash.beeraka@mpaii.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "ECW DA",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "1100 E Cheves St",
            "city": "Florence",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295062708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Larissa Renee Barr, REGISTERED NURSE
• Richard Barratt
• Alan H Barrett, PA
• Ronald Barth, DMD
• Keyandra Barthlett
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• Caitlin Basnight, DO
• Haley Bass
• Miranda Bass
• Valery Christian Batimba Bessi, MD

• Nephrology Physician in Florence, SC
• Providers in Florence, SC by specialty
• Nephrology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.
• 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.