Active NPI
Henry A Shevitz, M.D.
- Nuclear Medicine Physician
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Physician
- License
- 4301028752
- Practice address
- 29829 Telegraph Rd
Suite L103
Southfield, MI 48034-1330 - Phone
- (248) 352-9525
- Fax
- (248) 357-2959
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | 4301028752 | MI | Primary |
Addresses
Primary practice location
29829 Telegraph Rd
Suite L103
Southfield, MI 48034-1330
Mailing address
24901 Northwestern Hwy Ste 203
Southfield, MI 48075-2205
Phone (248) 357-2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HS028752 | Other | MI | LICENSE |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nuclear Medicine
- Education
- Wayne State University School of Medicine, 1968
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
29829 Telegraph Rd
Suite L103
Southfield, MI 48034-1376
Phone (248) 336-4000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exclusive Physicians PLLC | Current | Accepting new patients | |
| United Medical Surgical Specialists PLLC | Current | Accepting new patients | |
| Premier Health and Wellness Center | Past | Accepting new patients |
Locations
3051 Momentum Pl
Chicago, IL 60689
911 E 9 Mile Rd
Ferndale, MI 48220
Phone (248) 543-2229
3499 S Linden Rd
Ste 2
Flint, MI 48507
Phone (810) 820-8121
29829 Telegraph Rd
Ste L100
Southfield, MI 48034
18000 W 9 Mile Rd
Ste 200
Southfield, MI 48075
29829 Telegraph Rd
Ste L103
Southfield, MI 48034
Phone (248) 352-9525
Organizations & group practices 4
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.
-
- Diagnostic Radiology Physician
- Southfield, MI
- NPI 1992671614
-
- Multi-Specialty Clinic/Center
- Ferndale, MI
- NPI 1811226749
-
- Family Medicine Physician
- Hamtramck, MI
- NPI 1659145506
-
- Multi-Specialty Clinic/Center
- Warren, MI
- NPI 1659631265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329868800000",
"number": "1750309787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24901 NORTHWESTERN HWY STE 203",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480752205",
"telephone_number": "248-357-2100",
"fax_number": "248-357-4272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29829 TELEGRAPH RD",
"address_2": "SUITE L103",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341330",
"telephone_number": "248-352-9525",
"fax_number": "248-357-2959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEVITZ",
"first_name": "HENRY",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2012-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "MI",
"license": "4301028752",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "HS028752",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.