NPIMap

Organization Active NPI

Endocrinology and Weight Loss Center PLLC

Doing business as Issa Endocrinology and Weight Loss Center PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Saginaw, MI
National Provider Identifier
1134861990
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
ENDOCRINOLOGY AND WEIGHT LOSS CENTER PLLC
Doing business as
Issa Endocrinology and Weight Loss Center PLLC
Practice address
4801 McLeod Dr E
Saginaw, MI 48604-2840
Phone
(989) 607-0809
Fax
(989) 607-0833
NPI assigned
Apr 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Amer Issa, MDNPI 1326302712
Title
Owner
Phone
(313) 725-0790

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
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

4801 McLeod Dr E
Saginaw, MI 48604-2840

Mailing address

PO Box 320008
Flint, MI 48532-0001

Other names 1

  • ISSA ENDOCRINOLOGY AND WEIGHT LOSS CENTER PLLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220708001474 MI Part B Supplier - Clinic/Group Practice 3173903192 Receives reassigned benefits from 2 practitioners
Practice locations: Saginaw, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1134861990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 320008",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485320001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 MCLEOD DR E",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042840",
            "telephone_number": "989-607-0809",
            "fax_number": "989-607-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINOLOGY AND WEIGHT LOSS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "ISSA",
        "authorized_official_first_name": "AMER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-725-0790",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ISSA ENDOCRINOLOGY AND WEIGHT LOSS CENTER PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ISSA ENDOCRINOLOGY AND WEIGHT LOSS CENTER PLLC",
            "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 Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.