Mercy Internal Medicine PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

4301089948 Issued in MI

Legal business name

MERCY INTERNAL MEDICINE PLLC

Practice address

16001 W 9 Mile Rd
Southfield, MI 48075-4818

Phone

(586) 214-4556

Fax

(248) 849-7448

NPI assigned

Mar 11, 2016

Organization subpart

No

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

Authorized official

Name

Nabeel Shabo, MDNPI 1619177011

Title

Owner

Phone

(586) 214-4556

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nabeel Shabo, MD

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1619177011
  Medicare reassignment Authorized official
• Chad H Mansour, MD

  • Internal Medicine Physician
  • Midland, MI
  • NPI 1730186594
  NPD (past)
• Rita Naim, M.D

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1912164740
  NPD (past)
• Manhal Naoumi, M.D.

  • Family Medicine Physician
  • Warren, MI
  • NPI 1689643124
  NPD (past)
• Dalya S Shamon, M.D.

  • Family Medicine Physician
  • Sterling Heights, MI
  • NPI 1164657805
  NPD (past)

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1851752331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42451 BEECHWOOD DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483142943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16001 W 9 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754818",
            "telephone_number": "586-214-4556",
            "fax_number": "248-849-7448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31500 Dequindre Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480921057",
            "country_code": "US",
            "telephone_number": "586-939-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERCY INTERNAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-11",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "SHABO",
        "authorized_official_first_name": "NABEEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-214-4556",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4301089948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS",
            "identifier": "1619177011",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Merchant
• Furva Merchant
• Merciful Home Care, LLC
• Mercy Home Health Care LLC
• Mercy Homecare, Inc.
• Mercy LTC Pharmacy LLC
• Mercyland Medical Management, PLLC
• Meridian Human Services
• Milagros Merino
• Paul William Merritt

• Primary Care Clinic/Center in Southfield, MI
• Providers in Southfield, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.