Active NPI
Elizabeth Shokoui Hicks, D.O.
- Family Medicine Physician
- Cadillac, MI
National Provider Identifier
1982959235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101021221
- Practice address
- 827 E Division St
Cadillac, MI 49601-2015 - Phone
- (231) 775-9741
- NPI assigned
- Jul 23, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | LL1597 | SC | |
| Family Medicine Physician | 207Q00000X | 5101021221 | MI | Primary |
Addresses
Primary practice location
827 E Division St
Cadillac, MI 49601-2015
Mailing address
100 Michigan St NE
MC 845
Grand Rapids, MI 49503-2560
Other names 1
- Dr. Elizabeth Maheen Shokoui
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
827 E Division St
Cadillac, MI 49601-2015
Phone (231) 775-9741
Hospital & facility affiliations
- Musc Health at Home by Bayada-Conway
- Munson Home Care
- Munson Healthcare Cadillac Hospital
- Corewell Health Reed City Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL1597 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Practice of Cadillac PC | Family Medicine | Current | Accepting new patients |
Locations
827 E Division St
Cadillac, MI 49601
Phone (231) 775-9741
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GDEIBA
- elizabeth.leong@fpoc.eclinicaldirectplus.com
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.
-
- Family Medicine Physician
- Cadillac, MI
- NPI 1336250323
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cadillac, MI
- NPI 1841696754
-
- Home Health Agency
- Traverse City, MI
- NPI 1326002577
-
- Critical Access Hospital
- Reed City, MI
- NPI 1437259843
-
- Home Health Agency
- Myrtle Beach, SC
- NPI 1396261095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603238400000",
"number": "1982959235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MICHIGAN ST NE",
"address_2": "MC 845",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "827 E DIVISION ST",
"city": "CADILLAC",
"state": "MI",
"postal_code": "496012015",
"telephone_number": "231-775-9741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "ELIZABETH",
"middle_name": "SHOKOUI",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-23",
"last_updated": "2020-10-21",
"certification_date": "2020-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "LL1597",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101021221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "SHOKOUI",
"middle_name": "MAHEEN",
"prefix": "DR.",
"credential": "D.O.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cadillac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.