DR. BASAM SHAMO D.D.S.
NPI 1376981530
Dentist - Pediatric Dentistry in Southfield, MI

Active since June 10, 2013PECOS Enrolled
22972 LAHSER RD STE 2, SOUTHFIELD, MI 48033(248) 864-2500 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 8, 2023, Sep 17, 2019 (2 updates tracked since 2019).

About Dr. Basam Shamo D.d.s. NPPES

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

DR. BASAM SHAMO D.D.S. (NPI 1376981530) is an individual pediatric dentistry provider in Southfield, Michigan, licensed in Michigan (2901020972) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376981530
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. BASAM SHAMOCredential: D.D.S.
Location Address22972 LAHSER RD STE 2Southfield, MI 48033-4408
Mailing Address22972 Lahser Rd Ste 2Southfield, MI 48033-4408 · (248) 864-2500
Sole ProprietorNo
Enumeration DateJune 10, 2013
Last NPPES UpdateJune 8, 20232 updates tracked since enumeration
NPPES CertifiedJune 8, 2023
NPI 1376981530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in MI · 2901020972
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedDentistTaxonomy 122300000X · License 2901020972 (MI)
22972 LAHSER RD STE 2, Southfield, MI 48033

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Basam Shamo D.d.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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48033 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
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 2

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

Dentist
22972 LAHSER RD STE 2
SOUTHFIELD, MI 48033
Clinic/Center (Dental)
22972 LAHSER RD STE 2
SOUTHFIELD, MI 48033

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 Basam Shamo's NPI number?

The NPI number for Basam Shamo is 1376981530. It was assigned to this individual provider in the NPPES registry on June 10, 2013.

Where is Basam Shamo located?

Basam Shamo practices at 22972 Lahser Rd Ste 2, Southfield, MI 48033. The listed phone number is (248) 864-2500.

What is Basam Shamo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Basam Shamo enrolled in Medicare?

Yes. Basam Shamo is registered in the Medicare PECOS enrollment system.

What insurance does Basam Shamo accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, BEST Life and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 13 other insurers list Basam Shamo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Basam Shamo was last updated on June 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.