Individual provider Active NPI

Amit Kumar Masih, MD

  • Neurology Physician
  • Okemos, MI
National Provider Identifier
1124219175
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
4301086255 Issued in MI
Practice address
2525 Jolly Rd Ste 240
Okemos, MI 48864-3681
Phone
(989) 729-4304
Fax
(989) 729-4308
NPI assigned
Aug 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X 4301086255 MI
Neurology Physician 2084N0400X 4301086255 MI Primary

Addresses

Primary practice location

2525 Jolly Rd Ste 240
Okemos, MI 48864-3681

Mailing address

2525 Jolly Rd Ste 240
Okemos, MI 48864-3681
Phone (989) 729-4304

Other practice location 1

819 N Shiawassee St Ste 110
Owosso, MI 48867-1601
Phone (989) 723-1390

Other practice location 2

4200 Fashion Square Blvd Ste 301
Saginaw, MI 48603-1375
Phone (989) 729-4206

Other identifiers 1

IdentifierTypeStateIssuer
1124219175MedicaidMI

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
I20090902000566 MI Practitioner - NeurologyPractitioner - Pain ManagementPractitioner - Neuropsychiatry 2163577719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Neuropsychiatry, Pain Management
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial HospitalGroup PAC ID 8527976497, 210 clinicians

Practice addresses (Care Compare)

113 E Williams St
Owosso, MI 48867-2360

2525 Jolly Rd
Suite 240
Okemos, MI 48864-3681
Phone (989) 729-4304

3337 Britton Rd
Perry, MI 48872-9706
Phone (517) 625-3004

4200 Fashion Square Blvd
Suite 301
Saginaw, MI 48603-1375
Phone (989) 729-4206

819 N Shiawassee St
Owosso, MI 48867-1601

Hospital & facility affiliations

  • Memorial Healthcare Hospital, Owosso, MI, CCN 230121
  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230
  • McLaren Greater Lansing Hospital, Lansing, MI, CCN 230167
  • University of Michigan Health - Sparrow Eaton Hospital, Charlotte, MI, CCN 231327
  • University of Michigan Health- Sparrow Clinton Hospital, Saint Johns, MI, CCN 231326

Merit-based Incentive Payment System (MIPS)

Final score
82.58 of 100Reported as group
Quality
58.15
Promoting interoperability
100
Improvement activities
40
Cost
74.45

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital CurrentSince Nov 11, 2019 Accepting new patients
Memorial Hospital Neurology CurrentSince Nov 11, 2019 Accepting new patients
Memorial Hospital Current Accepting new patients
Memorial Hospital Past Accepting new patients

Locations

9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273

2525 Jolly Rd
Ste 240
Okemos, MI 48864
Phone (855) 276-2111

819 N Shiawassee St
Ste 110
Owosso, MI 48867
Phone (989) 723-1390

3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004

4200 Fashion Square Blvd
Ste 301
Saginaw, MI 48603
Phone (989) 729-4206

1501 Waterford Pkwy
Ste B
Saint Johns, MI 48879
Phone (989) 534-2353

Interoperability endpoints

  • Direct secure messaging: a.masih@memorialhealthcare.midirect.net

Organizations & group practices 4

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 8

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": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1124219175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 JOLLY RD STE 240",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643681",
            "telephone_number": "989-729-4304",
            "fax_number": "989-729-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 JOLLY RD STE 240",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643681",
            "telephone_number": "989-729-4304",
            "fax_number": "989-729-4308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "819 N Shiawassee St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Owosso",
            "state": "MI",
            "postal_code": "488671601",
            "country_code": "US",
            "telephone_number": "989-723-1390",
            "fax_number": "989-725-1415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4200 Fashion Square Blvd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486031375",
            "country_code": "US",
            "telephone_number": "989-729-4206",
            "fax_number": "989-729-4207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASIH",
        "first_name": "AMIT",
        "middle_name": "KUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "MI",
            "license": "4301086255",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301086255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124219175",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

Verify at the official NPI Registry.