Kristian Mark Shkambi

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

24230 Karim Blvd Ste 100
Novi, MI 48375-2960

Phone

(248) 745-4900

Fax

(248) 994-8005

NPI assigned

Oct 14, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1962165225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24230 KARIM BLVD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752960",
            "telephone_number": "248-745-4900",
            "fax_number": "248-994-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24230 KARIM BLVD STE 100",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752960",
            "telephone_number": "248-745-4900",
            "fax_number": "248-994-8005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24230 Karim Blvd",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483752960",
            "country_code": "US",
            "telephone_number": "248-745-4900",
            "fax_number": "248-994-8005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHKAMBI",
        "first_name": "KRISTIAN",
        "middle_name": "MARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in Novi, MI
• Providers in Novi, MI by specialty
• Case Manager/Care Coordinator in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.