Ravi Rajendra Shah, - Medicare Otolaryngology in Detroit, MI

Ravi Rajendra Shah, is a medicare enrolled "Otolaryngology" physician in Detroit, Michigan. He graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Henry Ford Medical Group and his current practice location is 2799 W Grand Blvd, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (800) 653-6568.

Ravi Rajendra Shah is licensed to practice in Michigan (license number 4301506790) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225492614.

Contact Information

Ravi Rajendra Shah,
2799 W Grand Blvd,
Detroit, MI 48202-2608
(800) 653-6568
Not Available



Physician's Profile

Full NameRavi Rajendra Shah
GenderMale
SpecialityOtolaryngology
Experience8 Years
Location2799 W Grand Blvd, Detroit, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ravi Rajendra Shah graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1225492614
  • Provider Enumeration Date: 04/11/2016
  • Last Update Date: 08/01/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5092006866
  • Enrollment ID: I20220804000835

Medical Identifiers

Medical identifiers for Ravi Rajendra Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225492614NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 306597-01 (New York)Secondary
207Y00000XOtolaryngology 4301506790 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Henry Ford HospitalDetroit, MIHospital
Henry Ford West Bloomfield HospitalWest bloomfield, MIHospital
Henry Ford Wyandotte HospitalWyandotte, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Henry Ford Medical Group05471783112095

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ravi Rajendra Shah allows following entities to bill medicare on his behalf.
Entity NameHenry Ford Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134144801
PECOS PAC ID: 0547178311
Enrollment ID: O20031105000139

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ravi Rajendra Shah is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ravi Rajendra Shah,
1 Ford Pl Ste 3a,
Detroit, MI 48202-3450

Ph: (313) 874-4806
Ravi Rajendra Shah,
2799 W Grand Blvd,
Detroit, MI 48202-2608

Ph: (800) 653-6568

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Otolaryngology Doctors in Detroit, MI

Dr. Samba Siva Reddy Bathula, M.D
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 4160 John R St Ste 1007, Dmc Ent-harper Professional Building, Detroit, MI 48201
Phone: 313-966-9471    Fax: 313-966-9470
Dr. Kathleen L. Yaremchuk, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-3275    Fax: 313-916-7263
Dr. Lamont Jones, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 2799 W Grand Blvd, Department Of Otolaryngology, Henry Ford Hospital, Detroit, MI 48202
Phone: 313-916-3272    Fax: 313-916-7263
Dr. Joshua Romero, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-2600    
Robert Hadi Deeb, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-3275    
Nathan Gonik, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 3901 Beaubien St, Suite 2102, Detroit, MI 48201
Phone: 313-966-6443    Fax: 313-745-0747
Dr. Ilaaf Darrat, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-587-3523    

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