WARDHA SHABBIR MD
NPI 1104497395
Family Medicine - Sports Medicine in Jackson, MI

Q: What is Wardha Shabbir's NPI number?

The NPI number for Wardha Shabbir is 1104497395. It was assigned to this individual provider in the NPPES registry on July 8, 2021.

Q: What is Wardha Shabbir's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Wardha Shabbir was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 08, 2021PECOS Enrolled

205 N EAST AVE, JACKSON, MI 49201(517) 205-4800 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2025, Jul 8, 2021 (2 updates tracked since 2021).

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About Wardha Shabbir Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WARDHA SHABBIR MD (NPI 1104497395) is an individual sports medicine provider in Jackson, Michigan, licensed in Michigan (4301513354) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104497395

Entity TypeIndividualFemale

Primary Taxonomy207QS0010X

Provider Legal NameWARDHA SHABBIRCredential: MD

Location Address205 N EAST AVEJackson, MI 49201-1753

Mailing Address26750 Providence Pkwy Ste 210Novi, MI 48374-1212 · (248) 465-4469 · Fax (248) 465-4503

Phone(517) 205-4800

Sole ProprietorNo

Enumeration DateJuly 8, 2021

Last NPPES UpdateJuly 1, 20252 updates tracked since enumeration

NPPES CertifiedJuly 1, 2025

✔ NPI 1104497395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in MI · 4301513354

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4351047565 (MI)

205 N EAST AVE, Jackson, MI 49201

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wardha Shabbir Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA RENE DANEK PA-C

Physician Assistant