Bina B Shaw, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301045358 Issued in MI

Practice address

1712 Picadilly Drive
Troy, MI 48084

Phone

(248) 643-1953

Fax

(248) 643-1953

NPI assigned

Aug 7, 2006

Last updated

Oct 4, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. Bina Bharat Shah Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Advanced Care Medical Center Inc

  • Family Medicine Physician
  • Novi, MI
  • NPI 1619994688
  NPD (past)
• Biogenetics Laboratories, Inc.

  dba Biogenetics Laboratories

  • Clinical Medical Laboratory
  • Southfield, MI
  • NPI 1821683467
  NPD (past)
• ENT Surgical Assoc PC

  • Otolaryngology/Facial Plastic Surgery Physician
  • Madison Heights, MI
  • NPI 1225073687
  NPD (past)
• Hospitalmd of Caro Ip, Inc.

  • Hospitalist Physician
  • Caro, MI
  • NPI 1003096371
  NPD (past)
• Tricity Medical Centers, P.C.

  • Obstetrics & Gynecology Physician
  • Dearborn, MI
  • NPI 1922054485
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1861401812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 PICADILLY DRIVE",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48084",
            "telephone_number": "248-643-1953",
            "fax_number": "248-643-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 PICADILLY DRIVE",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48084",
            "telephone_number": "248-643-1953",
            "fax_number": "248-643-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "BINA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301045358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "4203128",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1105026991",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BINA",
            "last_name": "SHAH",
            "middle_name": "BHARAT",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Suman Sharma, NP
• Sharmavitality PLLC
• Robert Sharp, RPH
• Caroline Sharza
• Aisha Shator
• Katherine Rose Shaw, NP
• Olivia Madeline Shaw, MS, PA-C
• Andrew D Shay
• Latice Sheffield
• Sheila McKenzie D.C., P.C. (Loving Health Chiropractic)

• Internal Medicine Physician in Troy, MI
• Providers in Troy, 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 Oct 4, 2011; 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.

Verify at the official NPI Registry.