Individual provider Active NPI

Ahsan Sattar, M.D.

  • Neurology Physician
  • East Lansing, MI
National Provider Identifier
1154551554
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
55626 Issued in WI
Practice address
804 Service Rd
A217
East Lansing, MI 48824-7015
Phone
(517) 353-8122
Fax
(517) 432-3713
NPI assigned
Jul 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 55626 WI Primary

Addresses

Primary practice location

804 Service Rd
A217
East Lansing, MI 48824-7015

Mailing address

804 Service Rd
A201
East Lansing, MI 48824-7015
Phone (517) 884-2976

Other identifiers 2

IdentifierTypeStateIssuer
1154551554MedicaidWI
1154551554MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20170927002939 NJ Practitioner - Neurology 6103148911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurosurgical Associates of New Jersey, P.C.Group PAC ID 2961405055, 42 clinicians

Practice addresses (Care Compare)

311 Bay Ave
Suite 201
Glen Ridge, NJ 07028-1607
Phone (973) 577-2883

Hospital & facility affiliations

  • Hackensack Meridian Mountainside Medical Hospital, Montclair, NJ, CCN 310054
  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076
  • Valley Hospital Hospital, Paramus, NJ, CCN 310012
  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55626WIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Associates of New Jersey, P.C. CurrentSince Aug 15, 2017 Accepting new patients
Valley Physician Services PC Past Accepting new patients
Michigan State University Past Accepting new patients

Locations

745 Hope Rd
Eatontown, NJ 07724
Phone (732) 222-8866

311 Bay Ave
Ste 201
Glen Ridge, NJ 07028
Phone (973) 577-2883

1200 E Ridgewood Ave
Ste 200
Ridgewood, NJ 07450
Phone (201) 327-8600

1200 E Ridgewood Ave
Ridgewood, NJ 07450
Phone (201) 327-8600

121 State Route 36
Ste 330
West Long Branch, NJ 07764
Phone (732) 222-8866

Interoperability endpoints

  • Direct secure messaging: asattar198156@ahs.direct-ci.com

Organizations & group practices 3

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 4

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": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1154551554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD",
            "address_2": "A201",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "517-884-2976",
            "fax_number": "517-432-3928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD",
            "address_2": "A217",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "517-353-8122",
            "fax_number": "517-432-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATTAR",
        "first_name": "AHSAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-20",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "55626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154551554",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154551554",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.