Individual provider Active NPI

Pervez Yusaf, M.D.

  • Orthopaedic Surgery Physician
  • Saginaw, MI
National Provider Identifier
1194881011
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
PY038356 Issued in MI
Practice address
4677 Towne Centre Rd FL 2
Saginaw, MI 48604-2846
Phone
(989) 790-6719
Fax
(989) 790-9464
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X PY038356 MI Primary
Specialist 174400000X PY038356 MI

Addresses

Primary practice location

4677 Towne Centre Rd FL 2
Saginaw, MI 48604-2846

Mailing address

4677 Towne Centre Rd FL 2
Saginaw, MI 48604-2846
Phone (989) 790-6719

Other identifiers 1

IdentifierTypeStateIssuer
1099090MedicaidMI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address pervezyusaf@smomsjhs.allscriptsdirect.net
Direct Messaging Address pervezyusaf@smomsjhs.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY038356MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Saginaw Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: pervez.yusaf.1@11016.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1194881011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4677 TOWNE CENTRE RD FL 2",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042846",
            "telephone_number": "989-790-6719",
            "fax_number": "989-790-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4677 TOWNE CENTRE RD FL 2",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042846",
            "telephone_number": "989-790-6719",
            "fax_number": "989-790-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUSAF",
        "first_name": "PERVEZ",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "PY038356",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "PY038356",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1099090",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pervezyusaf@smomsjhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "5275 Colony Dr N",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486387157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pervezyusaf@smomsjhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "4677 Towne Centre Rd Fl 2",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486042846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.