MR. WADIE SHUKRI DAVID DO
NPI 1740868272
Internal Medicine - Cardiovascular Disease in Southfield, MI

Q: What is Wadie David's NPI number?

The NPI number for Wadie David is 1740868272. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Q: What is Wadie David's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Wadie David was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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 March 29, 2021PECOS Enrolled

22250 PROVIDENCE DR STE 705, SOUTHFIELD, MI 48075(248) 552-9858(248) 849-9510 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 21, 2024, Jun 13, 2024, Mar 29, 2021 (3 updates tracked since 2021).

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About Mr. Wadie Shukri David Do NPPES

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

MR. WADIE SHUKRI DAVID DO (NPI 1740868272) is an individual cardiovascular disease provider in Southfield, Michigan, licensed in Michigan (5101027898) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Ypsilanti.

NPPES Registry Identity

NPI1740868272

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameMR. WADIE SHUKRI DAVIDCredential: DO

Location Address22250 PROVIDENCE DR STE 705Southfield, MI 48075-6215

Mailing Address22250 Providence Dr Ste 705Southfield, MI 48075-6215 · (248) 552-9858 · Fax (248) 849-9510

Phone(248) 552-9858

Fax(248) 849-9510

Sole ProprietorYes

Enumeration DateMarch 29, 2021

Last NPPES UpdateJune 21, 20243 updates tracked since enumeration

NPPES CertifiedJune 21, 2024

✔ NPI 1740868272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in MI · 5101027898

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

22250 PROVIDENCE DR STE 705, Southfield, MI 48075

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Secondary Practice Location 1

Location 15301 McAuley DrYpsilanti, MI 48197-1051 · Phone (248) 930-8234

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Wadie Shukri David Do 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 48075 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

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

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 11

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

ASHLEY LAMBERT PAC

Physician Assistant