Active NPI
Raafat Boles Mahrous Shehata, M.D.
- Family Medicine Physician
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301099522
- Practice address
- 21540 W 11 Mile Rd Ste 200
Southfield, MI 48076-3843 - Phone
- (248) 352-2000
- Fax
- (248) 352-8800
- NPI assigned
- Sep 26, 2011
- Last updated
- Oct 31, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 4301099522 | MI | |
| Family Medicine Physician | 207Q00000X | 4301099522 | MI | Primary |
Addresses
Primary practice location
21540 W 11 Mile Rd Ste 200
Southfield, MI 48076-3843
Mailing address
PO Box 1239
Troy, MI 48099-1239
Phone (248) 824-6060
Other practice location 1
18463 Livernois Ave
Detroit, MI 48221-2254
Phone (313) 861-4400
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15959 Hall Rd
Suite 104
Macomb, MI 48044-5364
Phone (586) 884-2688
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.04 of 100
- Quality
- 67.93
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 52.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301099522 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epic Primary Care II PLLC | Family Medicine | Current | Accepting new patients |
| Wellstreet Urgent Care of Michigan | Current | Accepting new patients | |
| Mid Michigan Home Visiting Doctors LLC | General Practice | Current | Accepting new patients |
| Advanced Care Medical Center Inc | Family Medicine | Past | Accepting new patients |
| Wellstreet Urgent Care of Michigan | Past | Accepting new patients | |
| Az Medical Services Management LLC | General Practice | Past | Accepting new patients |
| Biogenetics Laboratories, Inc. | Past | Accepting new patients |
Locations
18254 Livernois Ave
Ste 1
Detroit, MI 48221
Phone 24833640008001
15959 Hall Rd
Ste 104
Macomb, MI 48044
Phone (586) 884-2688
640 Romence Rd
Ste 215
Portage, MI 49024
Phone (269) 321-3300
2007 E 14 Mile Rd
Sterling Heights, MI 48310
Phone (313) 740-1111
2078 E Big Beaver Rd
Troy, MI 48083
Phone (248) 855-4134
Interoperability endpoints
- rshehata557435@direct.hfhs.org
Organizations & group practices 7
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.
-
dba Corewell Health Urgent Care
- Urgent Care Clinic/Center
- West Bloomfield, MI
- NPI 1578048096
-
- General Practice Physician
- Portage, MI
- NPI 1790092500
-
- Family Medicine Physician
- Novi, MI
- NPI 1619994688
-
- General Practice Physician
- Detroit, MI
- NPI 1669788121
-
dba Biogenetics Laboratories
- Clinical Medical Laboratory
- Southfield, MI
- NPI 1821683467
-
- Non-Pharmacy Dispensing Site
- Troy, MI
- NPI 1649952052
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Beaumont Hospital, Troy
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
dba Beaumont Hospital, Royal Oak
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
dba Beaumont Hospital, Grosse Pointe
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572480000000",
"number": "1891078846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1239",
"city": "TROY",
"state": "MI",
"postal_code": "480991239",
"telephone_number": "248-824-6060",
"fax_number": "248-686-0772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21540 W 11 MILE RD STE 200",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480763843",
"telephone_number": "248-352-2000",
"fax_number": "248-352-8800"
}
],
"practiceLocations": [
{
"address_1": "18463 Livernois Ave",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482212254",
"country_code": "US",
"telephone_number": "313-861-4400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEHATA",
"first_name": "RAAFAT",
"middle_name": "BOLES MAHROUS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-26",
"last_updated": "2019-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MI",
"license": "4301099522",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301099522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.