Individual provider Active NPI

Akshay B Shah, M.D.

  • Specialist
  • Bloomfield Hills, MI
National Provider Identifier
1831119981
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4301053002 Issued in MI
Practice address
4225 Lakeridge CT
Bloomfield Hills, MI 48302-1621
Phone
(248) 762-6662
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4301053002 MI Primary

Addresses

Primary practice location

4225 Lakeridge CT
Bloomfield Hills, MI 48302-1621

Mailing address

4225 Lakeridge CT
Bloomfield Hills, MI 48302-1621
Phone (248) 762-6662

Other identifiers 1

IdentifierTypeStateIssuer
3118102-10MedicaidMI

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
I20100809000251 MI Practitioner - Infectious Disease 6800781741 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Consultants, LLC CurrentSince Apr 30, 2015 Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince Apr 30, 2015 Accepting new patients

Locations

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300

15474 N Haggerty Rd
Plymouth, MI 48170
Phone (734) 335-6103

Interoperability endpoints

  • Direct secure messaging: ashah372453@direct.hfhs.org

Organizations & group practices 2

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1831119981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 LAKERIDGE CT",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021621",
            "telephone_number": "248-762-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 LAKERIDGE CT",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021621",
            "telephone_number": "248-762-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "AKSHAY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2024-01-02",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301053002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3118102-10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.