Individual provider Active NPI

Dania Ali Shakaroun, M.D

  • Pulmonary Disease Physician
  • Taylor, MI
National Provider Identifier
1750816799
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4301112983 Issued in MI
Practice address
24555 Haig St
Taylor, MI 48180-3322
Phone
(313) 375-2000
NPI assigned
Apr 27, 2017
Reactivated
Dec 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 4301509926 MI
Sleep Medicine (Internal Medicine) Physician 207RS0012X 4301509926 MI
Pulmonary Disease Physician 207RP1001X 4301112983 MI Primary

Addresses

Primary practice location

24555 Haig St
Taylor, MI 48180-3322

Mailing address

24555 Haig St
Taylor, MI 48180-3322
Phone (313) 375-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Detroit

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
I20240722001477 MI Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 9436425352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

24555 Haig St
Taylor, MI 48180-3322
Phone (313) 375-2000

Hospital & facility affiliations

  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053
  • Wyandotte Hospital and Medical Center Hospital, Wyandotte, MI, CCN 230146

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301509926MIMDCritical Care Medicine (Internal Medicine) Physician
4301112983MIMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Pulmonary Disease CurrentSince Jul 1, 2024 Accepting new patients
Henry Ford Health System CurrentSince Jul 1, 2024 Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Maplegrove Center Past Accepting new patients

Locations

2799 W Grand Blvd
#K17
Detroit, MI 48202
Phone (313) 916-2421

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

39450 W Twelve Mile Rd
Novi, MI 48377
Phone (248) 344-0710

24555 Haig St
Taylor, MI 48180
Phone (313) 292-6260

2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000

Interoperability endpoints

  • Direct secure messaging: dshakaroun448730@direct.hfhs.org

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.

Hospital & facility affiliations 3

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": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1750816799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24555 HAIG ST",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803322",
            "telephone_number": "313-375-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24555 HAIG ST",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803322",
            "telephone_number": "313-375-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKAROUN",
        "first_name": "DANIA",
        "middle_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-27",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "deactivation_date": "2017-11-29",
        "reactivation_date": "2017-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": "4301509926",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MI",
            "license": "4301509926",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301112983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Detroit",
            "affiliation": "N",
            "address_1": "2799 W Grand Blvd.",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

Verify at the official NPI Registry.