Individual provider Active NPI

Shawqi E Halabu, M.D.

  • Obstetrics & Gynecology Physician
  • Birmingham, MI
National Provider Identifier
1861573610
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
SH042299 Issued in MI
Practice address
511 Pierce St
Birmingham, MI 48009-1790
Phone
(248) 646-8100
NPI assigned
Oct 18, 2006
Last updated
Feb 16, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X SH042299 MI Primary

Addresses

Primary practice location

511 Pierce St
Birmingham, MI 48009-1790

Mailing address

23133 Orchard Lake Rd
Suite 101
Farmington, MI 48336-3268
Phone (248) 615-2020

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100715000433 MI Practitioner - Obstetrics/Gynecology 4486562923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23133 Orchard Lake Rd
Suite 204
Farmington, MI 48336-3279
Phone (248) 615-2020

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SH042299MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shawqi E Halabu M.D. PC CurrentSince May 27, 1980 Accepting new patients
A.N.N. Inc. PastSince Oct 29, 2002 Accepting new patients

Locations

511 Pierce St
Birmingham, MI 48009
Phone (248) 645-0840

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1861573610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23133 ORCHARD LAKE RD",
            "address_2": "SUITE 101",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363268",
            "telephone_number": "248-615-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 PIERCE ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091790",
            "telephone_number": "248-646-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALABU",
        "first_name": "SHAWQI",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "SH042299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

Verify at the official NPI Registry.