Active NPI
Akshay B Shah, M.D.
- Specialist
- Bloomfield Hills, MI
National Provider Identifier
1831119981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 4301053002
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3118102-10 | Medicaid | MI |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Infectious Disease Consultants, LLC | Current | Accepting new patients | |
| Metro Infectious Disease Consultants LLC | Current | 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
- 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.
-
- Infectious Disease Physician
- Burr Ridge, IL
- NPI 1235125717
MI
-
- Infectious Disease Physician
- Jonesboro, GA
- NPI 1770307191
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.