NPIMap

Individual provider Active NPI

Hatham Shawqi, D.O.

  • Emergency Medicine Physician
  • Syracuse, NY
National Provider Identifier
1972913663
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
300617 Issued in NY
Practice address
301 Prospect Ave
Syracuse, NY 13203-1807
Phone
(315) 448-5111
NPI assigned
May 2, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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 5101021043 MI
Emergency Medicine Physician 207P00000X 300617 NY Primary

Addresses

Primary practice location

301 Prospect Ave
Syracuse, NY 13203-1807

Mailing address

1185 Academy Dr
Rochester Hills, MI 48307-4624
Phone (586) 651-2776

Other practice location 1

11885 E 12 Mile Rd Ste 300A
Warren, MI 48093-3467
Phone (586) 582-6630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, MD, DC, NH, OH5 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20180726001509 MI Practitioner - Emergency MedicinePractitioner - Internal Medicine 0244537678 Reassigns benefits to 3 organizations
I20230126001267 MD Practitioner - Emergency Medicine 0244537678 Reassigns benefits to 4 organizations
I20230126001467 DC Practitioner - Emergency Medicine 0244537678 Reassigns benefits to 2 organizations
I20251125003101 NH Practitioner - Emergency Medicine 0244537678 Reassigns benefits to 1 organization
I20260417002503 OH Practitioner - Emergency MedicinePractitioner - Internal Medicine 0244537678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
Michigan State University College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Hospital GroupGroup PAC ID 2365968351, 366 clinicians

Practice addresses (Care Compare)

2900 Collins Rd
Lansing, MI 48910-8394
Phone (517) 975-7500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101021043MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates, PA Emergency Medicine CurrentSince Jul 22, 2024 Accepting new patients
McLaren Hospital Group Emergency Medicine CurrentSince Nov 12, 2025 Accepting new patients
Chester River Hospital Center CurrentSince Jul 15, 2023 Accepting new patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine Current Accepting new patients
Emergency Medicine Associates P.a., P.C. Internal Medicine CurrentSince Jul 22, 2024 Accepting new patients
Emergency Medicine Associates, PA Emergency Medicine CurrentSince Jul 22, 2024 Accepting new patients
Emergency Medicine Physicians of Rockingham County, LLC Emergency Medicine CurrentSince Nov 1, 2025 Accepting new patients
Mep Health, LLC Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Upper Chesapeake Emergency Medicine Physicians, LLC Emergency Medicine CurrentSince Aug 31, 2023 Accepting new patients
Chester River Health Center CurrentSince Jul 15, 2023 Accepting new patients
Kalamazoo Acute Care Specialists PLC Past Accepting new patients

Locations

660 McHenry Rd
Aberdeen, MD 21001
Phone (443) 643-1500

520 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (410) 836-0128

15001 Health Center Dr
Bowie, MD 20716
Phone (301) 262-5511

100 Brown St
Chestertown, MD 21620
Phone (410) 778-3300

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500

5 Alumni Dr
Exeter, NH 03833
Phone (603) 580-6339

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

Interoperability endpoints

  • Direct secure messaging: hshawqi479672@direct.umm.edu

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 12

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": "1398988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1972913663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 ACADEMY DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074624",
            "telephone_number": "586-651-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 PROSPECT AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031807",
            "telephone_number": "315-448-5111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11885 E 12 Mile Rd Ste 300A",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480933467",
            "country_code": "US",
            "telephone_number": "586-582-6630",
            "fax_number": "586-582-6631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAWQI",
        "first_name": "HATHAM",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-02",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101021043",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "300617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.