Nastaran Biriji, MD
Individual provider Active NPI Family Medicine Physician · Burton, MI
NPI 1013766450 · NPPES record last updated May 17, 2024
Key facts
- NPI
- 1013766450
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4351052612 (MI)
- Practice address
- 1460 N Center Rd
Burton, MI 48509-1429 - Phone
- (810) 715-4300
- NPI assigned
- May 17, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240911003517 | MI | Order and Referring Only - Family Practice |
5496295826 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4351052612 | MI | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4351052612 | MI | Yes |
Addresses
Primary practice location
1460 N Center Rd
Burton, MI 48509-1429
Mailing address
1460 N Center Rd
Burton, MI 48509-1429
Phone (810) 715-4300
Other providers in Burton, MI
- Better Odds Behavioral Health, PLLC
- Harbir Bhullar
- Dawn Marie Bierek
- Christie Bigelow
- Ty Spencer Bigelow
- Jill Black
- Dyashiah Blackmon
- Cathy Junelle Blair
- Iyana Denee Blanks-Prater
- Blue Lakes Behavioral Health, LLC
All providers in Burton, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.