Shahad Raad Jonna, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

6450 Farmington Rd Ste 115
West Bloomfield, MI 48322-4456

Phone

(734) 331-6037

Fax

(734) 331-6260

NPI assigned

Dec 26, 2018

Sex

Female

Sole proprietor

No

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Jajo and Jonna Psychiatry PLLCGroup PAC ID 3971996638, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sjonna603636@direct.hfhs.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.

• Jajo & Jonna Psychiatry PLLC

  • Psychiatry Physician
  • Farmington Hills, MI
  • NPI 1275205270
  Medicare reassignment Care Compare group Authorized official
• Henry Ford Health Providence Hospital

  • Surgery Physician
  • Southfield, MI
  • NPI 1942265236

  Physician Assistant

  Medicare reassignment NPD
• Henry Ford Health System

  • Physician Assistant
  • Detroit, MI
  • NPI 1811073901
  Medicare reassignment NPD
• Henry Ford Health Providence Hospital

  • Pediatrics Physician
  • Southfield, MI
  • NPI 1265497226
  NPD
• Henry Ford Health System

  • Community/Retail Pharmacy
  • Plymouth, MI
  • NPI 1942931720
  NPD
• Henry Ford Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Detroit, MI
  • NPI 1851410005
  NPD

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

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1962974253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 FARMINGTON RD STE 115",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224456",
            "telephone_number": "734-331-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 FARMINGTON RD STE 115",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224456",
            "telephone_number": "734-331-6037",
            "fax_number": "734-331-6260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1788 Cass Lake Front Rd",
            "address_purpose": "LOCATION",
            "city": "Keego Harbor",
            "state": "MI",
            "postal_code": "483201056",
            "country_code": "US",
            "telephone_number": "248-259-7737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONNA",
        "first_name": "SHAHAD",
        "middle_name": "RAAD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-26",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alindria Jones
• Carla Dianne Jones, LMSW
• Heather Joy Jones
• Jeanette Marie Jones, OTR/L
• Joy L Jones, NP
• Christopher Joppie, LMT
• Becky S Jordan
• Christina Jordan
• Rola Jordan
• Jose S Evangelista III MD PC

• Physician Assistant in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.