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

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: October 18, 2026.

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

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 maintains a secondary practice location in Detroit.

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
Open in Google Maps ↗

Secondary Practice Location 1

Location 14201 St. Antoine, UHC 9C, Detroit Medical CenterDetroit, MI 48201 · Phone (313) 745-6047

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shifaatullah Khan Shabaz Mohammed reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Henry Ford Heath System
Same address
Vascular & Interventional Radiology
2799 W GRAND BLVD
Detroit, MI 48202
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Henry Ford Health System
  • 1,886 clinicians in this Medicare group
NPI 1013119817 (313) 916-2600
Henry Ford Macomb Hospital Corporation
14 mi
Family Medicine
15717 15 MILE RD
Clinton Twp, MI 48035
  • Reassigned Medicare billing, Michigan enrollment
  • 556 clinicians in this Medicare group
NPI 1134265986 (586) 285-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
DR. BRENT DAVID GRIFFITH M.D.
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
KANIKA KHANNA M.D
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
DR. FADL A CHOKR M.D.
Family Medicine
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
AVI COHEN M.D.
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
LINDSEY AURORA
Internal Medicine (Cardiovascular Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
KYLE KRUPA
Nurse Anesthetist, Certified Registered
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
ALEXANDER GARBARINO
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600

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 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.

Where is Shifaatullah Khan Shabaz Mohammed located?

Shifaatullah Khan Shabaz Mohammed practices at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (313) 916-2600.

What is Shifaatullah Khan Shabaz Mohammed's specialty?

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

Is Shifaatullah Khan Shabaz Mohammed enrolled in Medicare?

Yes. Shifaatullah Khan Shabaz Mohammed is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Shifaatullah Khan Shabaz Mohammed's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shifaatullah Khan Shabaz Mohammed reassigns Medicare benefits to 2 organizations: Henry Ford Heath System (Detroit, MI) and Henry Ford Macomb Hospital Corporation (Clinton Twp, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shifaatullah Khan Shabaz Mohammed's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shifaatullah Khan Shabaz Mohammed accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Shifaatullah Khan Shabaz Mohammed 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.

Is Shifaatullah Khan Shabaz Mohammed affiliated with any hospitals?

According to CMS data, Shifaatullah Khan Shabaz Mohammed is affiliated with Henry Ford Health Hospital.

When was this NPI record last updated?

The NPPES record for Shifaatullah Khan Shabaz Mohammed was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.