Individual provider Active NPI

Shariff K Bishai, DO

  • Orthopaedic Surgery Physician
  • Troy, MI
National Provider Identifier
1962452524
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
5101014863 Issued in MI
Practice address
1560 E Maple Rd Ste 120
Troy, MI 48083-1135
Phone
(248) 952-8080
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 5101014863 MI Primary
Orthopaedic Surgery Physician 207X00000X 044107 CT
Orthopaedic Surgery Physician 207X00000X 238944 NY

Addresses

Primary practice location

1560 E Maple Rd Ste 120
Troy, MI 48083-1135

Mailing address

1560 E Maple Rd Ste 120
Troy, MI 48083-1135
Phone (248) 952-8080

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070919000550 MI Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 8921010406 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Michigan State University College of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1560 E Maple Rd
Troy, MI 48083-1135
Phone (248) 789-0000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Orthopedists of Detroit, PC Orthopaedic Surgery CurrentSince Aug 1, 2007 Accepting new patients
Associated Orthopedists of Detroit PC Orthopaedic Surgery CurrentSince Aug 1, 2007 Accepting new patients
Detroit Orthopaedic Institute PLLC Orthopaedic Surgery CurrentSince Oct 28, 2023 Accepting new patients
Detroit Orthopaedic Institute PLLC Orthopaedic Surgery CurrentSince Oct 13, 2023 Accepting new patients
Clinton Partners, LLC PastSince Feb 1, 2015 Accepting new patients

Locations

204 W Buttles St
Midland, MI 48640

50505 Schoenherr Rd
Ste 120
Shelby Township, MI 48315
Phone (586) 412-1411

24715 Little Mack Ave
Ste 100
St Clr Shores, MI 48080
Phone (586) 779-2585

24715 Little Mack Ave
St Clr Shores, MI 48080
Phone (586) 777-9000

1560 E Maple Rd
Ste 120
Troy, MI 48083
Phone (248) 669-2000

Interoperability endpoints

  • Direct secure messaging: shariff.bishai.1@30327.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24034/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sbishai63198@direct.hfhs.org

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1962452524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 E MAPLE RD STE 120",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831135",
            "telephone_number": "248-952-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 E MAPLE RD STE 120",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831135",
            "telephone_number": "248-952-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHAI",
        "first_name": "SHARIFF",
        "middle_name": "K",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101014863",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CT",
            "license": "044107",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "238944",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.