NPIMap

Individual provider Active NPI

Mouhamed Osman Shatila, D.O.

  • Pulmonary Disease Physician
  • Novi, MI
National Provider Identifier
1851779797
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
5101021657 Issued in MI
Practice address
39650 Orchard Hill PL Ste 100
Novi, MI 48375-5392
Phone
(248) 449-7010
Fax
(248) 449-7015
NPI assigned
May 12, 2015
Last updated
Jun 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 5101021657 MI Primary
Internal Medicine Physician 207R00000X 5101021657 MI
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 5101021657 MI

Addresses

Primary practice location

39650 Orchard Hill PL Ste 100
Novi, MI 48375-5392

Mailing address

39650 Orchard Hill PL Ste 100
Novi, MI 48375-5392
Phone (248) 449-7010

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mshatila460792@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210309001114 MI Practitioner - Pulmonary Disease 9638472145 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Michigan State University College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pulmonary and Critical Care Specialists, P.C.Group PAC ID 1951299981, 6 clinicians

Practice addresses (Care Compare)

28100 Grand River Ave
Farmington Hills, MI 48336-5970

39650 Orchard Hill PL
Suite 100
Novi, MI 48375-5392
Phone (248) 449-7010

44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-0535

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.7 of 100Reported as group
Quality
92.64
Promoting interoperability
100
Improvement activities
40
Cost
74.36

Merit-based Incentive Payment System (MIPS)

Final score
84.37 of 100Reported as group
Quality
66.73
Promoting interoperability
100
Improvement activities
40
Cost
70.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101021657MIMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Medical Group- Specialty Services Multi-Specialty CurrentSince Feb 5, 2022 Accepting new patients
Pulmonary & Critical Care Specialists, P.C. Multi-Specialty CurrentSince May 1, 2021 Accepting new patients
Canton Asthma & Allergy PC Multi-Specialty Past Accepting new patients

Locations

28050 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8000

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

Interoperability endpoints

  • Direct secure messaging: mshatila1255555@epic00.shdirect.org
  • Direct secure messaging: mshatila198217@direct.hfhs.org
  • Direct secure messaging: mshatila460792@direct.beaumont.edu

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1851779797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39650 ORCHARD HILL PL STE 100",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755392",
            "telephone_number": "248-449-7010",
            "fax_number": "248-449-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39650 ORCHARD HILL PL STE 100",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755392",
            "telephone_number": "248-449-7010",
            "fax_number": "248-449-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHATILA",
        "first_name": "MOUHAMED",
        "middle_name": "OSMAN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-12",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "5101021657",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101021657",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": "5101021657",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mshatila460792@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "28050 Grand River Ave",
            "city": "Farmington Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483365919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.