NPIMap

Organization Active NPI

Prime Internists PLLC

  • Internal Medicine Physician
  • Saginaw, MI
National Provider Identifier
1174031298
Registry record updated Jan 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PRIME INTERNISTS PLLC
Practice address
3175 Christy Way S Ste 8
Saginaw, MI 48603-2210
Phone
(989) 401-7000
Fax
(989) 401-7325
NPI assigned
Jan 11, 2018
Last updated
Jan 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2018

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

Authorized official

Name
Ghazanfar Latif, MDNPI 1710309661
Title
Physician
Phone
(609) 576-6322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

3175 Christy Way S Ste 8
Saginaw, MI 48603-2210

Mailing address

PO Box 3272
Saginaw, MI 48605-3272
Phone (989) 797-1400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180124002161 MI Part B Supplier - Clinic/Group Practice 8325307192 Receives reassigned benefits from 1 practitioner
Practice locations: Saginaw, MI

National Provider Directory

National Provider Directory

Locations

3175 Christy Way S
Ste 8
Saginaw, MI 48603
Phone (989) 401-7000

7261 Gratiot Rd
Saginaw, MI 48609
Phone (989) 270-3100

400 North St W
Tawas City, MI 48763
Phone (989) 362-8645

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516060800000",
    "number": "1174031298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3272",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486053272",
            "telephone_number": "989-797-1400",
            "fax_number": "989-797-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 CHRISTY WAY S STE 8",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032210",
            "telephone_number": "989-401-7000",
            "fax_number": "989-401-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME INTERNISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-01-16",
        "status": "A",
        "authorized_official_last_name": "LATIF",
        "authorized_official_first_name": "GHAZANFAR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "609-576-6322",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 16, 2018; 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.