Individual provider Active NPI

Syed Aijaz Sami, M.D.

  • Interventional Pain Medicine Physician
  • Saginaw, MI
National Provider Identifier
1023345782
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
4301092959 Issued in MI
Practice address
3170 Hallmark CT
Saginaw, MI 48603-2107
Phone
(989) 439-9111
Fax
(989) 401-3611
NPI assigned
Nov 17, 2009
Reactivated
Feb 3, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4301092959 MI
General Practice Physician 208D00000X 4301092959 MI
Interventional Pain Medicine Physician 208VP0014X 4301092959 MI Primary

Addresses

Primary practice location

3170 Hallmark CT
Saginaw, MI 48603-2107

Mailing address

3170 Hallmark CT
Saginaw, MI 48603-2107
Phone (989) 439-9111

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
I20120629000078 MI Practitioner - Family PracticePractitioner - Orthopedic Surgery 7113182932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Orthopedic Surgery
Education
Wayne State University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saginaw Valley Medical Center PLLCGroup PAC ID 0941576169, 2 clinicians

Practice addresses (Care Compare)

3170 Hallmark CT
Saginaw, MI 48603-2107
Phone (989) 439-9111

Hospital & facility affiliations

  • Covenant Medical Center Hospital, Saginaw, MI, CCN 230070
  • Insight Hospital and Medical Center Coldwater Hospital, Coldwater, MI, CCN 230022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301092959MIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saginaw Valley Medical Center PLLC Family Medicine CurrentSince Sep 8, 2017 Accepting new patients

Locations

3170 Hallmark Ct
Saginaw, MI 48603
Phone (989) 439-9111

4046 Hess Ave
Saginaw, MI 48601
Phone (989) 372-1900

Interoperability endpoints

  • Direct secure messaging: syed.sami@4125.securemail.prognocis.com

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 2

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": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1023345782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 HALLMARK CT",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032107",
            "telephone_number": "989-439-9111",
            "fax_number": "989-401-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3170 HALLMARK CT",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032107",
            "telephone_number": "989-439-9111",
            "fax_number": "989-401-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMI",
        "first_name": "SYED",
        "middle_name": "AIJAZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-17",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "deactivation_date": "2021-01-22",
        "reactivation_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301092959",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301092959",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MI",
            "license": "4301092959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.