Individual provider Active NPI

Henry A Shevitz, M.D.

  • Nuclear Medicine Physician
  • Southfield, MI
National Provider Identifier
1750309787
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
4301028752 Issued in MI
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

Updated by the provider on Feb 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
HS028752OtherMILICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040405001162 MI Practitioner - Nuclear MedicinePractitioner - Internal MedicinePractitioner - Diagnostic Radiology 2264425495 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nuclear MedicineAlso: Diagnostic Radiology, Internal Medicine
Education
Wayne State University School of Medicine, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Medical Surgical Specialists PLLCGroup PAC ID 6608350699, 3 clinicians

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

OrganizationSpecialtyStatusNew patients
Exclusive Physicians PLLC CurrentSince Jun 10, 2025 Accepting new patients
United Medical Surgical Specialists PLLC CurrentSince Jan 21, 2026 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.

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

Verify at the official NPI Registry.