Individual provider Active NPI

Laila Shehadeh, D.O.

  • Obstetrics & Gynecology Physician
  • Warren, MI
National Provider Identifier
1992756167
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5101011421 Issued in MI
Practice address
14049 E 13 Mile Rd
Suite 6
Warren, MI 48088-5876
Phone
(586) 558-9966
Fax
(586) 558-5534
NPI assigned
May 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5101011421 MI Primary

Addresses

Primary practice location

14049 E 13 Mile Rd
Suite 6
Warren, MI 48088-5876

Mailing address

14049 E 13 Mile Rd
Suite 6
Warren, MI 48088-5876
Phone (586) 558-9966

Other identifiers 1

IdentifierTypeStateIssuer
4475048MedicaidMI

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
I20040329000550 MI Practitioner - Obstetrics/Gynecology 6103718655 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Michigan Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Macomb Hospital CorporationGroup PAC ID 7911808381, 349 clinicians

Practice addresses (Care Compare)

14049 E 13 Mile Rd
Suite 6
Warren, MI 48088-5876
Phone (586) 298-6035

15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone (586) 263-2300

51221 Schoenherr Rd
Suite 201
Shelby Township, MI 48315-2718
Phone (586) 254-3545

Hospital & facility affiliations

  • Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047
  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053
  • Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195
  • McLaren Macomb Hospital, Mount Clemens, MI, CCN 230227
  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101011421MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Hospital Corporation CurrentSince Feb 1, 2012 Accepting new patients
Henry Ford Health System Obstetrics & Gynecology CurrentSince Nov 25, 2019 Accepting new patients
Henry Ford Macomb Hospital Corporation Obstetrics & Gynecology CurrentSince Feb 1, 2012 Accepting new patients
Henry Ford Health System CurrentSince Nov 25, 2019 Accepting new patients
Henry Ford Macomb Hospital Corporation Current Accepting new patients
Henry Ford Pathology Current Accepting new patients

Locations

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

51221 Schoenherr Rd
Ste 201
Shelby Township, MI 48315
Phone (586) 254-3545

13355 E 10 Mile Rd
Warren, MI 48089
Phone (586) 759-7300

30205 Schoenherr Rd
Ste B
Warren, MI 48088
Phone (586) 261-1960

14049 E 13 Mile Rd
Ste 6
Warren, MI 48088
Phone (586) 294-4820

6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000

Interoperability endpoints

  • Direct secure messaging: lshehadeh59733@direct.hfhs.org

Organizations & group practices 6

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 8

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": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1992756167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14049 E 13 MILE RD",
            "address_2": "SUITE 6",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480885876",
            "telephone_number": "586-558-9966",
            "fax_number": "586-558-5534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14049 E 13 MILE RD",
            "address_2": "SUITE 6",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480885876",
            "telephone_number": "586-558-9966",
            "fax_number": "586-558-5534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEHADEH",
        "first_name": "LAILA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-13",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101011421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4475048",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.