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BASSAM HADI SHEHADEH JR.
NPI 1689519670
Student in an Organized Health Care Education/Training Program in Wyandotte, MI

Active since April 23, 2026PECOS Enrolled
2333 BIDDLE AVE, WYANDOTTE, MI 48192(734) 246-6000 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bassam Hadi Shehadeh Jr. NPPES

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

BASSAM HADI SHEHADEH JR. (NPI 1689519670) is an individual student in an organized health care education/training program in Wyandotte, Michigan and active in the NPI registry since April 2026. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689519670
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameBASSAM HADI SHEHADEH JR.
Location Address2333 BIDDLE AVEWyandotte, MI 48192-4668
Mailing Address707 Canterbury RdGrosse Pointe Woods, MI 48236-1283
Phone(734) 246-6000
Sole ProprietorYes
Enumeration DateApril 23, 2026
NPPES CertifiedApril 23, 2026
✔ NPI 1689519670 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.
2333 BIDDLE AVE, Wyandotte, MI 48192
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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)

Bassam Hadi Shehadeh Jr. 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 20

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

ZIENAB DABAJA
Podiatrist (Foot & Ankle Surgery)
2333 BIDDLE AVE
WYANDOTTE, MI 48192
Wayne County (734) 246-8004
SWETA BANDA
Emergency Medicine
2333 BIDDLE AVE
WYANDOTTE, MI 48192
Wayne County (734) 264-6000
DR. ZACHARY JUMP DO
Emergency Medicine
2333 BIDDLE AVE
WYANDOTTE, MI 48192
Wayne County (734) 287-9029
AUDREY HOEBECKE
Obstetrics & Gynecology
2333 BIDDLE AVE
WYANDOTTE, MI 48192
Wayne County (734) 246-8004
DR. ARSHAD PERVEZ M.D.
Internal Medicine
2333 BIDDLE AVE
WYANDOTTE, MI 48192
Wayne County (734) 464-0887
ANTHONY CAMPBELL
Surgery
2333 BIDDLE AVE
WYANDOTTE, MI 48192
Wayne County (734) 246-6000
DR. NAVEEN KAUR RIHAL DO
Obstetrics & Gynecology
2333 BIDDLE AVE
WYANDOTTE, MI 48192
Wayne County (734) 246-8004
MATTHEW KATZ MD
Student in an Organized Health Care Education/Training Program
2333 BIDDLE AVE
WYANDOTTE, MI 48192
Wayne County (734) 246-6000

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 Bassam Shehadeh's NPI number?

The NPI number for Bassam Shehadeh is 1689519670. It was assigned to this individual provider in the NPPES registry on April 23, 2026.

Where is Bassam Shehadeh located?

Bassam Shehadeh practices at 2333 Biddle Ave, Wyandotte, MI 48192. The listed phone number is (734) 246-6000.

What is Bassam Shehadeh's specialty?

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

Is Bassam Shehadeh enrolled in Medicare?

Yes. Bassam Shehadeh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bassam Shehadeh was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.