Individual provider Active NPI

Said M Issa, M.D.

  • Ophthalmology Physician
  • Ann Arbor, MI
National Provider Identifier
1003840844
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301068565 Issued in MI
Practice address
2900 Golfside Dr
Suite 2
Ann Arbor, MI 48108-1410
Phone
(313) 724-2733
Fax
(313) 724-2456
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301068565 MI Primary

Addresses

Primary practice location

2900 Golfside Dr
Suite 2
Ann Arbor, MI 48108-1410

Mailing address

2900 Golfside Dr
Suite 2
Ann Arbor, MI 48108-1410
Phone (313) 724-2733

Other identifiers 1

IdentifierTypeStateIssuer
4277696MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081119000869 MI Practitioner - Ophthalmology 8325108467 Practice locations: Ann Arbor, MI; Dearborn, MI

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Michigan State University College of Human Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23522 Michigan Ave
Dearborn, MI 48124-1934
Phone (313) 724-2733

2900 Golfside
Ann Arbor, MI 48108

Hospital & facility affiliations

  • Beaumont Hospital - Taylor Hospital, Taylor, MI, CCN 230270

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301068565MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Choice Management Group P.L.L.C. PastSince Feb 27, 2016 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1003840844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 GOLFSIDE DR",
            "address_2": "SUITE 2",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081410",
            "telephone_number": "313-724-2733",
            "fax_number": "313-724-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 GOLFSIDE DR",
            "address_2": "SUITE 2",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081410",
            "telephone_number": "313-724-2733",
            "fax_number": "313-724-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISSA",
        "first_name": "SAID",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301068565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4277696",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.