Active NPI
Anita Saad Gorgis
- Physician Assistant
- Madison Heights, MI
National Provider Identifier
1194655894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601014047
- Practice address
- 350 E 12 Mile Rd
Madison Heights, MI 48071-2531 - Phone
- (313) 377-7377
- NPI assigned
- May 22, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601014047 | MI | Primary |
Addresses
Primary practice location
350 E 12 Mile Rd
Madison Heights, MI 48071-2531
Mailing address
49250 Saint Nicholas
Shelby Township, MI 48317-6315
Phone (248) 234-3116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
26000 Hoover Rd
Warren, MI 48089-1167
49250 Saint Nicholas
Shelby Township, MI 48317-6315
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601014047 | MI | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782950400000",
"number": "1194655894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49250 SAINT NICHOLAS",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483176315",
"telephone_number": "248-234-3116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 E 12 MILE RD",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "480712531",
"telephone_number": "313-377-7377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORGIS",
"first_name": "ANITA",
"middle_name": "SAAD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-22",
"last_updated": "2026-07-02",
"certification_date": "2026-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601014047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.