Individual provider Active NPI

Raid Saco, MD

  • Internal Medicine Physician
  • Dearborn, MI
National Provider Identifier
1154701985
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301107946 Issued in MI
Practice address
22060 Beech St Ste 200
Dearborn, MI 48124-2853
Phone
(313) 228-0505
NPI assigned
Jun 6, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301107946 MI
Interventional Cardiology Physician 207RI0011X 4301107946 MI
Internal Medicine Physician 207R00000X 4301107946 MI Primary

Addresses

Primary practice location

22060 Beech St Ste 200
Dearborn, MI 48124-2853

Mailing address

22060 Beech St Ste 200
Dearborn, MI 48124-2853
Phone (313) 228-0505

Other practice location 1

22101 Moross Rd
Professional Building 2, Suite 50
Detroit, MI 48236-2148
Phone (313) 343-7784

Other practice location 2

33155 Annapolis St
Wayne, MI 48184-2405
Phone (734) 467-4000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RSACO72679@DIRECT.BEAUMONT.EDU Direct

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
I20190914000166 MI Practitioner - Internal MedicinePractitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7315232972 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology), Interventional Cardiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaumont Medical Group- Specialty ServicesGroup PAC ID 7214299866, 868 clinicians

Practice addresses (Care Compare)

10000 Telegraph Rd
Taylor, MI 48180-3330
Phone (313) 295-5360

18101 Oakwood Blvd
Dearborn, MI 48124-4089

22060 Beech St
Suite 200
Dearborn, MI 48124-2853
Phone (313) 228-0505

28100 Grand River Ave
Farmington Hills, MI 48336-5970

468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone (313) 473-1705

5450 Fort St
Trenton, MI 48183-4601
Phone (734) 671-3800

Hospital & facility affiliations

  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
  • Beaumont Hospital - Taylor Hospital, Taylor, MI, CCN 230270
  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089
  • Corewell Health Trenton Hospital Hospital, Trenton, MI, CCN 230176
  • Corewell Health Wayne Hospital Hospital, Wayne, MI, CCN 230142

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Medical Group- Specialty Services CurrentSince Aug 31, 2022 Accepting new patients
Beaumont Medical Group Hospital -Based Services CurrentSince Mar 21, 2022 Accepting new patients

Locations

22060 Beech St
Ste 200
Dearborn, MI 48124
Phone (313) 228-0505

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

Interoperability endpoints

  • Direct secure messaging: rsaco72679@direct.beaumont.edu
  • Direct secure messaging: rsacco535884@direct.hfhs.org
  • Direct secure messaging: rsaco1254025@epic00.shdirect.org

Organizations & group practices 2

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 7

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": "1433548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1154701985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22060 BEECH ST STE 200",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242853",
            "telephone_number": "313-228-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22060 BEECH ST STE 200",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242853",
            "telephone_number": "313-228-0505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22101 Moross Rd",
            "address_2": "Professional Building 2, Suite 50",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482362148",
            "country_code": "US",
            "telephone_number": "313-343-7784",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33155 Annapolis St",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "MI",
            "postal_code": "481842405",
            "country_code": "US",
            "telephone_number": "734-467-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SACO",
        "first_name": "RAID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-06",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301107946",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "4301107946",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301107946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RSACO72679@DIRECT.BEAUMONT.EDU",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "22060 Beech St Ste 200",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481242853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.