Individual provider Active NPI

Fayek Nicholas Shamma, MD

  • Reproductive Endocrinology Physician
  • Bloomfield Hills, MI
National Provider Identifier
1962408161
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
5315152801 Issued in MI
Practice address
37000 Woodward Ave Ste 350
Bloomfield Hills, MI 48304-0944
Phone
(248) 952-9600
Fax
(248) 844-2538
NPI assigned
Jun 22, 2005
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X 5315152801 MI Primary
Reproductive Endocrinology Physician 207VE0102X 036110841 IL
Reproductive Endocrinology Physician 207VE0102X 35.065228 OH

Addresses

Primary practice location

37000 Woodward Ave Ste 350
Bloomfield Hills, MI 48304-0944

Mailing address

8800 E Raintree Dr Ste 200
Scottsdale, AZ 85260-3963
Phone (248) 952-9600

Other practice location 1

6711 Monroe St Ste A
Sylvania, OH 43560-1993
Phone (419) 885-8080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036110841ILMDReproductive Endocrinology Physician
5315152801MIMDReproductive Endocrinology Physician
35.065228OHMDReproductive Endocrinology Physician
59015MIMDRecreation Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients
California Fertility Partners Reproductive Endocrinology Past Accepting new patients
Toledo Fertility Center Reproductive Endocrinology Past Accepting new patients
Ivf Michigan, P.C. Reproductive Endocrinology Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1962408161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 E RAINTREE DR STE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603963",
            "telephone_number": "248-952-9600",
            "fax_number": "248-952-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37000 WOODWARD AVE STE 350",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040944",
            "telephone_number": "248-952-9600",
            "fax_number": "248-844-2538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6711 Monroe St Ste A",
            "address_purpose": "LOCATION",
            "city": "Sylvania",
            "state": "OH",
            "postal_code": "435601993",
            "country_code": "US",
            "telephone_number": "419-885-8080",
            "fax_number": "419-885-8166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAMMA",
        "first_name": "FAYEK",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "MI",
            "license": "5315152801",
            "primary": true
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "IL",
            "license": "036110841",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "OH",
            "license": "35.065228",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; 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.