Individual provider Active NPI

Sana Roohi Ahmed, M.D.

  • Pediatrics Physician
  • Ypsilanti, MI
National Provider Identifier
1235263179
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301085636 Issued in MI
Practice address
200 Arnet St
Suite 200
Ypsilanti, MI 48198-5753
Phone
(734) 484-7288
NPI assigned
Mar 15, 2007
Last updated
Dec 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 4301085636 MI
Pediatrics Physician 208000000X 4301085636 MI Primary

Addresses

Primary practice location

200 Arnet St
Suite 200
Ypsilanti, MI 48198-5753

Mailing address

3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299

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
I20081107000640 MI Practitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists) 5092874875 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Michigan Pediatrics Current Accepting new patients
Regents of the University of Michigan CurrentSince Feb 18, 2011 Accepting new patients
Regents of the University of Michigan CurrentSince Feb 18, 2011 Accepting new patients
Regents of the University of Michigan Past Accepting new patients
Regents of the University of Michigan Past Accepting new patients

Locations

1500 E Medical Center Dr
Fl 4
Ann Arbor, MI 48109
Phone (734) 763-9259

2800 Stone School Rd
Rm 112
Ann Arbor, MI 48104
Phone (734) 973-9167

3300 Lorraine St
Rm 204
Ann Arbor, MI 48108
Phone (734) 677-2708

3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229

200 Arnet St
Ste 200
Ypsilanti, MI 48198
Phone (734) 482-6221

2095 Packard Rd
Rm 404
Ypsilanti, MI 48197
Phone (734) 221-1007

300 W Michigan Ave
Ypsilanti, MI 48197
Phone (734) 539-5000

7425 Willis Rd
Rm P114
Ypsilanti, MI 48197
Phone (734) 714-9600

8744 Whittaker Rd
Rm 812
Ypsilanti, MI 48197
Phone (734) 714-9509

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1235263179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081633",
            "telephone_number": "734-647-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ARNET ST",
            "address_2": "SUITE 200",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481985753",
            "telephone_number": "734-484-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "SANA",
        "middle_name": "ROOHI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MI",
            "license": "4301085636",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301085636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.