Organization Active NPI

Sajeda Nusrat MD Family Medicine PLLC

  • Family Medicine Physician
  • Saginaw, MI
National Provider Identifier
1114288446
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301079825 Issued in MI
Legal business name
SAJEDA NUSRAT MD FAMILY MEDICINE PLLC
Practice address
3310 Shattuck Rd
Saginaw, MI 48603-3263
Phone
(989) 249-4040
Fax
(989) 249-4045
NPI assigned
Jun 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Authorized official

Name
Sajeda Nusrat, M.D.NPI 1912993924
Title
Owner
Phone
(989) 249-4040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 4301079825 MI Primary

Addresses

Primary practice location

3310 Shattuck Rd
Saginaw, MI 48603-3263

Mailing address

3310 Shattuck Rd
Saginaw, MI 48603-3263
Phone (989) 249-4040

Other names 1

  • Foremost Family Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120720000167 MI Part B Supplier - Clinic/Group Practice 1456517325 Receives reassigned benefits from 3 practitioners
Practice locations: Saginaw, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2043251Sajeda Nusrat MD Family Medicine PLLC3310 Shattuck Road, Saginaw, MI 48603Certificate of waiverJun 28, 2028

National Provider Directory

National Provider Directory

Locations

3310 Shattuck Rd
Saginaw, MI 48603
Phone (989) 249-4040

2578 McLeod Dr N
Ste 2
Saginaw, MI 48604
Phone (989) 249-0045

2578 McLeod Dr N
Saginaw, MI 48604
Phone (989) 497-3157

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1114288446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 SHATTUCK RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033263",
            "telephone_number": "989-249-4040",
            "fax_number": "989-249-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 SHATTUCK RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033263",
            "telephone_number": "989-249-4040",
            "fax_number": "989-249-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAJEDA NUSRAT MD FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-04",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "NUSRAT",
        "authorized_official_first_name": "SAJEDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-249-4040",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301079825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foremost Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.