Individual provider Active NPI

Philip Joseph Shalhoub, M.D.

  • Urology Physician
  • Roseville, MI
National Provider Identifier
1992960249
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
4301101209 Issued in MI
Practice address
18325 E 10 Mile Rd
Suite 200
Roseville, MI 48066-4990
Phone
(586) 773-6300
Fax
(586) 773-6266
NPI assigned
Jul 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X 4301101209 MI Primary

Addresses

Primary practice location

18325 E 10 Mile Rd
Suite 200
Roseville, MI 48066-4990

Mailing address

18325 E 10 Mile Rd
Suite 200
Roseville, MI 48066-4990
Phone (586) 773-6300

Other identifiers 1

IdentifierTypeStateIssuer
1992960249MedicaidMI

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
I20120828000146 MI Practitioner - Urology 6305093345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Michigan Medical School, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michigan Healthcare Professionals PCGroup PAC ID 0345413258, 525 clinicians

Practice addresses (Care Compare)

18325 E 10 Mile Rd
Suite 200
Roseville, MI 48066-4990
Phone (586) 773-6300

27900 Grand River Ave
Suite 220
Farmington Hills, MI 48336-5965
Phone (248) 477-0552

Hospital & facility affiliations

  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089
  • Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195
  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • McLaren Macomb Hospital, Mount Clemens, MI, CCN 230227

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301101209MIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC Multi-Specialty CurrentSince Jul 1, 2012 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Jul 1, 2012 Accepting new patients

Locations

37555 Garfield Rd
Ste 110
Clinton Twp, MI 48036
Phone (248) 336-3179

21510 Harrington St
Ste 301
Clinton Twp, MI 48036
Phone (586) 464-3661

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

18325 E 10 Mile Rd
Ste 200
Roseville, MI 48066
Phone (586) 773-6300

Interoperability endpoints

  • Direct secure messaging: pshalhoub250053@direct.hfhs.org
  • Direct secure messaging: phillip.shalhoub.1@18740.direct.athenahealth.com

Organizations & group practices 2

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 9

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": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1992960249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18325 E 10 MILE RD",
            "address_2": "SUITE 200",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664990",
            "telephone_number": "586-773-6300",
            "fax_number": "586-773-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18325 E 10 MILE RD",
            "address_2": "SUITE 200",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664990",
            "telephone_number": "586-773-6300",
            "fax_number": "586-773-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALHOUB",
        "first_name": "PHILIP",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-25",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "MI",
            "license": "4301101209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992960249",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

Verify at the official NPI Registry.