DR. SHAWQI MUSALLAM
NPI 1912795832
Student in an Organized Health Care Education/Training Program in Warren, MI

Q: What is Shawqi Musallam's NPI number?

The NPI number for Shawqi Musallam is 1912795832. It was assigned to this individual provider in the NPPES registry on April 29, 2025.

Q: What is Shawqi Musallam's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shawqi Musallam was last updated on May 1, 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.

Active since April 29, 2025PECOS Enrolled

11800 E 12 MILE RD, WARREN, MI 48093(586) 573-5059 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Shawqi Musallam NPPES

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

DR. SHAWQI MUSALLAM (NPI 1912795832) is an individual student in an organized health care education/training program in Warren, Michigan and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912795832

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. SHAWQI MUSALLAM

Location Address11800 E 12 MILE RDWarren, MI 48093-3472

Mailing Address11800 E 12 Mile RdWarren, MI 48093-3472

Phone(586) 573-5059

Sole ProprietorYes

Enumeration DateApril 29, 2025

Last NPPES UpdateMay 1, 2025

NPPES CertifiedMay 1, 2025

✔ NPI 1912795832 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.

11800 E 12 MILE RD, Warren, MI 48093

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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)

Dr. Shawqi Musallam 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.

DR. MICHEAL BUGGIA M.D.

Emergency Medicine