Individual provider Active NPI

Mahmoud Mohd Ayman Shaqfeh, MBBS

  • Internal Medicine Physician
  • Flint, MI
National Provider Identifier
1972857043
Registry record updated Oct 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301100613 Issued in MI
Practice address
1 Hurley PLZ # 3W
Flint, MI 48503-5902
Phone
(810) 257-9841
NPI assigned
Oct 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301100613 MI Primary
Pediatrics Physician 208000000X 4301100613 MI

Addresses

Primary practice location

1 Hurley PLZ # 3W
Flint, MI 48503-5902

Mailing address

801 Tuuri PL
Apt. 101
Flint, MI 48503-2481
Phone (810) 341-2040

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
I20180220000267 MI Practitioner - Neurology 8729219787 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301100613MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Flint Neurological Centre PC CurrentSince Mar 1, 2018 Accepting new patients

Locations

1 Hurley Plz
#3W
Flint, MI 48503
Phone (810) 257-9841

5082 Villa Linde Pkwy
Flint, MI 48532
Phone (810) 720-1335

Interoperability endpoints

  • Direct secure messaging: mshaqfeh1150984@direct.hfhs.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1972857043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 TUURI PL",
            "address_2": "APT. 101",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032481",
            "telephone_number": "810-341-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HURLEY PLZ # 3W",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485035902",
            "telephone_number": "810-257-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAQFEH",
        "first_name": "MAHMOUD",
        "middle_name": "MOHD AYMAN",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-29",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301100613",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301100613",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.