Alka Yatrik Shah, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

4301066469 Issued in MI

Practice address

2905 W 12 Mile Rd
Berkley, MI 48072-1413

Phone

(248) 541-0770

Fax

(248) 541-6862

NPI assigned

Dec 1, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI, ME2 enrollments

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 2

Specialty

NeurologyAlso: Nuclear Medicine, Sleep Medicine

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Michigan Physicians Group, PCGroup PAC ID 5799682597, 3 clinicians

St Marys Regional Medical CenterGroup PAC ID 0042107120, 192 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary'S Regional Medical Center Hospital, Lewiston, ME, CCN 200034
• Sinai-Grace Hospital Hospital, Detroit, MI, CCN 230024
• Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Merit-based Incentive Payment System (MIPS)

Final score

96.58 of 100Reported as apm

Quality

83.17

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ashahmd350133@carlehiedirect.net
• Direct secure messaging: ashah1155572@direct.bsmhealth.org

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

• Michigan Physicians Group, PC

  • Cardiovascular Disease Physician
  • Berkley, MI
  • NPI 1518041052

  Neurology

  Medicare reassignment Care Compare group NPD
• St. Mary'S Regional Medical Center

  • General Acute Care Hospital
  • Lewiston, ME
  • NPI 1447226584
  Medicare reassignment Care Compare group NPD
• St. Joseph Hospital

  • General Acute Care Hospital
  • Bangor, ME
  • NPI 1154321545
  Medicare reassignment NPD
• St. Mary'S Regional Medical Center

  • Skilled Nursing Facility
  • Lewiston, ME
  • NPI 1952306524
  NPD

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

• VHS Sinai-Grace Hospital Inc

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1760794044
  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Troy, MI
  • NPI 1306825997
  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Royal Oak, MI
  • NPI 1689653305
  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Grosse Pointe, MI
  • NPI 1932396017
  Care Compare affiliation
• St. Mary'S Regional Medical Center

  • General Acute Care Hospital
  • Lewiston, ME
  • NPI 1447226584
  Care Compare affiliation

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1952385072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 W 12 MILE RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721413",
            "telephone_number": "248-541-0770",
            "fax_number": "248-541-6862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 W 12 MILE RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721413",
            "telephone_number": "248-541-0770",
            "fax_number": "248-541-6862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ALKA",
        "middle_name": "YATRIK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "ME",
            "license": "MD25025",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301066469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104086273",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Philip Sciturro, M.D.
• Paola M Seidel, M.D.
• Autumn Serowoky
• Minna Shaba, FNP
• Ellen Shafer, RN, FNP
• Dinesh M Shah, MD
• Rita Shah, MD
• Yaser Shaheen, DMD
• Samer G. Shamoon, D.D.S.
• Steven Adam Shanbom, MD

• Neurology Physician in Berkley, MI
• Providers in Berkley, MI by specialty
• Neurology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.