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TAHER SHAWARTAMIMI M.B.B.S
NPI 1164112124
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since May 11, 2023PECOS Enrolled
6071 OUTER DR W, DETROIT, MI 48235(313) 966-7434 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 31, 2023, May 11, 2023 (2 updates tracked since 2023).

About Taher Shawartamimi M.b.b.s NPPES

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

TAHER SHAWARTAMIMI M.B.B.S (NPI 1164112124) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164112124
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTAHER SHAWARTAMIMICredential: M.B.B.S
Location Address6071 OUTER DR WDetroit, MI 48235
Mailing Address6071 Outer Dr WDetroit, MI 48235
Phone(313) 966-7434
Sole ProprietorNo
Enumeration DateMay 11, 2023
Last NPPES UpdateAugust 31, 20232 updates tracked since enumeration
NPPES CertifiedMay 11, 2023
✔ NPI 1164112124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
6071 OUTER DR W, Detroit, MI 48235
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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)

Taher Shawartamimi M.b.b.s 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.

Other Providers at the Same Location NPPES 8

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

MR. HUSAM ELTAHIR MD
Student in an Organized Health Care Education/Training Program
6071 OUTER DR W
DETROIT, MI 48235
Wayne County (313) 966-3250
MR. ANAND AGARWAL M.D
Internal Medicine
6071 OUTER DR W, DEPARTMENT OF INTERNAL MEDICINE
DETROIT, MI 48235
Wayne County (313) 966-7434
LISA DSOUZA M.D.
Student in an Organized Health Care Education/Training Program
6071 OUTER DR W, DEPARTMENT OF INTERNAL MEDICINE ROOM M408, TRANSITIONAL
DETROIT, MI 48235
Wayne County (313) 966-3250
KIRTHANA SUGUNATHEVAN MD
Student in an Organized Health Care Education/Training Program
6071 OUTER DR W
DETROIT, MI 48235
Wayne County (313) 966-3300
SILVER MELODY MARTIN DO
Emergency Medicine
6071 OUTER DR W
DETROIT, MI 48235
Wayne County (313) 966-3300
LILLIA DINCHEVA-VOGEL
Student in an Organized Health Care Education/Training Program
6071 OUTER DR W
DETROIT, MI 48235
Wayne County (313) 966-3300
AAKASH BISHT M.D.
Internal Medicine
6071 OUTER DR W
DETROIT, MI 48235
Wayne County (313) 745-6047
MISS TANYA ODISHO D.O.
Student in an Organized Health Care Education/Training Program
6071 OUTER DR W
DETROIT, MI 48235
Wayne County (313) 966-4770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taher Shawartamimi's NPI number?

The NPI number for Taher Shawartamimi is 1164112124. It was assigned to this individual provider in the NPPES registry on May 11, 2023.

Where is Taher Shawartamimi located?

Taher Shawartamimi practices at 6071 Outer Dr W, Detroit, MI 48235. The listed phone number is (313) 966-7434.

What is Taher Shawartamimi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Taher Shawartamimi enrolled in Medicare?

Yes. Taher Shawartamimi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Taher Shawartamimi was last updated on August 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.