Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Austin Polutanovich

Individual provider Acute Care Nurse Practitioner · NPI 1871339820

Austin Polutanovich is a Nurse Practitioner in West Bloomfield, Michigan. Graduated from University of Michigan Medical School in 2024, 2 years ago. Practices with Jawad a Shah MD PC, a 90-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
2
Trained at
University of Michigan Medical School
Licensed in
MI
In the registry since
2024
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Practice location Address checks out

6777 W Maple Rd
West Bloomfield, MI 48322-3013
Phone: (248) 661-6466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704341665 (MI)

Record details

NPI number1871339820
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 8, 2024
Last updated in NPPESJanuary 19, 2026
Certification dateJanuary 19, 2026
Mailing address1092 Oregon Blvd, Waterford, MI 48327-3345

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2024 (2 years in practice)
Group practice Jawad A Shah Md Pc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in West Bloomfield