Atul C. Shah, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301053461 Issued in MI

Practice address

8033 E 10 Mile Rd
Suite 105
Center Line, MI 48015-1427

Phone

(586) 755-6101

Fax

(586) 755-8609

NPI assigned

Feb 22, 2007

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

Other identifiers 1

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

Specialty

Psychiatry

Education

Wayne State University School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Detroit Recovery ProjectGroup PAC ID 1850716226, 9 clinicians

Elmhurst Home, IncGroup PAC ID 5395115489, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Insight Hospital and Medical Center Coldwater Hospital, Coldwater, MI, CCN 230022

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: atul.shah.p1@direct.recovery4detroit.nextgenshare.com

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.

• The Detroit Recovery Project

  dba Detroit recovery Project, Inc

  • Community/Behavioral Health Agency
  • Detroit, MI
  • NPI 1760890263
  Medicare reassignment Care Compare group NPD
• Elmhurst Home, Inc.

  • Substance Abuse Rehabilitation Facility
  • Detroit, MI
  • NPI 1366659906
  Medicare reassignment Care Compare group

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

• Community Health Center of Branch County

  • General Acute Care Hospital
  • Coldwater, MI
  • NPI 1063471639
  Care Compare affiliation

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1881729978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8033 E. TEN MILE RD, CENTERLINE MEDICAL CLINIC",
            "address_2": "SUITE 105",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "48015",
            "telephone_number": "586-755-6101",
            "fax_number": "586-755-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8033 E 10 MILE RD",
            "address_2": "SUITE 105",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151427",
            "telephone_number": "586-755-6101",
            "fax_number": "586-755-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ATUL",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301053461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3402430",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jack Schwarcz, D.D.S., M.S.
• Richard M Schwarcz, D.D.S
• Dennis Stanley Sczechowski, D.D.S.
• Erin Searles, LMSW
• Melissa Ann Serra, LMSW
• Victoria Shank
• Sudhir Kumar Shrivastava
• Amanda Lynn Sidelko, RN
• Jannine Silcock, RN
• Carolyn Jean Simon, LPC

• Family Medicine Physician in Center Line, MI
• Providers in Center Line, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.