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

Ravi Rajendra Shah

Individual provider Otolaryngology Physician · NPI 1225492614

Ravi Rajendra Shah is an Otolaryngology in Detroit, Michigan. Qualified in 2016, 10 years ago. Practices with Henry Ford Wyandotte Hospital, a 194-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Michigan and New York.

Years since qualifying
10
Licensed in
MI, NY
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (800) 653-6568
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 2070 Biddle Ave Ste 3, Wyandotte, MI 48192-4080 — (734) 281-4197
  • 2333 Biddle Ave, Wyandotte, MI 48192-4668 — (734) 246-6000
  • 111 Bedford Rd, Katonah, NY 10536-2115 — (914) 232-3135
  • 110 S Bedford Rd, Mount Kisco, NY 10549-3446 — (914) 242-1355

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 4301506790 (MI)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 306597-01 (NY)

Record details

NPI number1225492614
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 11, 2016
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Henry Ford Wyandotte Hospital — 194 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Detroit