Igor Shkolnik, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301097105 Issued in MI

Practice address

5301 E Huron River Dr.
Iha Hospital Medicine Service
Ypsilanti, MI 48197

Phone

(734) 712-8676

Fax

(734) 712-3855

NPI assigned

Jul 26, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI, AL, IL, NC, TX, OH, KY, TN, PA, CT10 enrollments

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 10

Specialty

Internal Medicine

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Iha Health Services CorporationGroup PAC ID 2466351440, 1,149 clinicians

Woundmd TN PLLCGroup PAC ID 3173961141, 5 clinicians

American Wound Care Al PLLCGroup PAC ID 9032554902, 7 clinicians

American Wound Care Ky PLLCGroup PAC ID 1153860648, 5 clinicians

Personic Health Care LLCGroup PAC ID 5294149381, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Health Ann Arbor Hospital Hospital, Ann Arbor, MI, CCN 230156

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: ishkolnik45562@direct.trinity-health.org

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.

• Iha Health Services Corporation

  dba IHA Canton Obstetrics and Gynecology

  • Obstetrics & Gynecology Physician
  • Canton, MI
  • NPI 1457408965
  Medicare reassignment Care Compare group NPD
• American Wound Care Al, PLLC

  • Wound Care Registered Nurse
  • Birmingham, AL
  • NPI 1518732346
  Medicare reassignment Care Compare group NPD
• American Wound Care Ky PLLC

  • Wound Care Registered Nurse
  • Lexington, KY
  • NPI 1811727506
  Medicare reassignment Care Compare group NPD
• Personic Health Care LLC

  • Wound Care Registered Nurse
  • Springfield, PA
  • NPI 1891382230
  Medicare reassignment Care Compare group NPD
• Woundmd TN PLLC

  • Wound Care Registered Nurse
  • Brentwood, TN
  • NPI 1164282182
  Medicare reassignment Care Compare group NPD
• Physician Coverage Services PC

  dba Michigan Health Specialist

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1669567806
  Medicare reassignment NPD
• Wound MD Michigan Professional Limited Liability Company

  • Wound Care Registered Nurse
  • Dearborn, MI
  • NPI 1669165247
  Medicare reassignment NPD
• Chma of NC

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1982364469
  Medicare reassignment NPD
• Consonant Healing Associates of de LLC

  • Surgery Physician
  • Sparks, MD
  • NPI 1669099321

  Internal Medicine, OH, TX

  Medicare reassignment NPD
• Harmonycares Complete Health Services, PLLC

  dba HarmonyCares Health Services

  • Family Medicine Physician
  • Jackson, MS
  • NPI 1093543902

  Internal Medicine, KY

  Medicare reassignment NPD
• Personic Connecticut PLLC

  • Wound Care Registered Nurse
  • Shelton, CT
  • NPI 1285529453
  Medicare reassignment NPD
• Personic Wound Care Illinois PLLC

  • Surgery Physician
  • Chicago, IL
  • NPI 1093425399
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Joseph Mercy Hospital

  dba Trinity Heath Ann Arbor Hospital

  • General Acute Care Hospital
  • Ypsilanti, MI
  • NPI 1780658443
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368489600000",
    "number": "1841503364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 446",
            "address_2": "24 FRANK LLOYD WRIGHT DRIVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481060446",
            "telephone_number": "734-747-6766",
            "fax_number": "734-222-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 E HURON RIVER DR.",
            "address_2": "IHA HOSPITAL MEDICINE SERVICE",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "48197",
            "telephone_number": "734-712-8676",
            "fax_number": "734-712-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHKOLNIK",
        "first_name": "IGOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-26",
        "last_updated": "2013-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301097105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdulaziz Shihab
• Shine and Shadow, LLC
• Adria Shines
• Timothy Shinn, MD
• Arrice Chanel Bryant Shipley, MD
• Jordan Shockey
• Linda Shoener, NP
• Karen Jane Shoner, OTR CHT
• Daniel Shonnard, PA-C
• Lindsey Shook

• Internal Medicine Physician in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; 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.

Verify at the official NPI Registry.