MR. SHIFAATULLAH KHAN SHABAZ MOHAMMED M.D.
NPI 1811634314
Internal Medicine in Detroit, MI

Q: What is Shifaatullah Khan Shabaz Mohammed's NPI number?

The NPI number for Shifaatullah Khan Shabaz Mohammed is 1811634314. It was assigned to this individual provider in the NPPES registry on May 16, 2022.

Q: What is Shifaatullah Khan Shabaz Mohammed's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since May 16, 2022PECOS EnrolledAccepts Medicare Assignment

2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-2600 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 16, 2025, Nov 21, 2022, May 16, 2022 (3 updates tracked since 2022).

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About Mr. Shifaatullah Khan Shabaz Mohammed M.d. NPPES

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

MR. SHIFAATULLAH KHAN SHABAZ MOHAMMED M.D. (NPI 1811634314) is an individual internal medicine provider in Detroit, Michigan, licensed in Michigan (4301513307) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1811634314

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMR. SHIFAATULLAH KHAN SHABAZ MOHAMMEDCredential: M.D.

Location Address2799 W GRAND BLVDDetroit, MI 48202-2689

Mailing Address1 Ford PlDetroit, MI 48202-3450 · (313) 874-4806

Phone(313) 916-2600

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMay 16, 2022

Last NPPES UpdateJuly 21, 20253 updates tracked since enumeration

NPPES CertifiedJuly 21, 2025

✔ NPI 1811634314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MI · 4301513307

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 4301513307 (MI)

2799 W GRAND BLVD, Detroit, MI 48202

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Shifaatullah Khan Shabaz Mohammed M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082126537

PECOS Enrollment IDI20250621000083

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230053

Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48202 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

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

HENRY FORD HOSPITAL

General Acute Care Hospital