Individual provider Active NPI

George Yacoub Saad, MD

  • Family Medicine Physician
  • Detroit, MI
National Provider Identifier
1154364354
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
GS056809 Issued in MI
Practice address
20526 Plymouth Rd Ste C
Detroit, MI 48228-1273
Phone
(313) 272-9570
Fax
(313) 272-9575
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X GS056809 MI Primary

Addresses

Primary practice location

20526 Plymouth Rd Ste C
Detroit, MI 48228-1273

Mailing address

20526 Plymouth Rd Ste C
Detroit, MI 48228-1273
Phone (313) 272-9570

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
I20101111001132 MI Practitioner - Family Practice 2365637626

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
GS056809MIMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: gsaad437184@direct.hfhs.org

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1154364354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20526 PLYMOUTH RD STE C",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482281273",
            "telephone_number": "313-272-9570",
            "fax_number": "313-272-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20526 PLYMOUTH RD STE C",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482281273",
            "telephone_number": "313-272-9570",
            "fax_number": "313-272-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAAD",
        "first_name": "GEORGE",
        "middle_name": "YACOUB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "GS056809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.