Individual provider Active NPI

Sarah Hagle, MD

  • Family Medicine Physician
  • Saint Clair Shores, MI
National Provider Identifier
1235544081
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301106196 Issued in MI
Practice address
24911 Little Mack Ave Ste C
Saint Clair Shores, MI 48080-3200
Phone
(586) 447-9064
Fax
(586) 447-9081
NPI assigned
Jun 30, 2014
Last updated
Jan 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 4301106196 MI Primary

Addresses

Primary practice location

24911 Little Mack Ave Ste C
Saint Clair Shores, MI 48080-3200

Mailing address

24911 Little Mack Ave Ste C
Saint Clair Shores, MI 48080-3200
Phone (586) 447-9064

Other practice location 1

1215 E Michigan Ave
Lansing, MI 48912-1811
Phone (517) 364-2570

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
I20181108000212 MI Practitioner - Family Practice 4183978299 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Health Center, Inc.Group PAC ID 1759370216, 51 clinicians
Western Michigan University School of MedicineGroup PAC ID 7517113954, 76 clinicians

Practice addresses (Care Compare)

117 W Paterson St
Kalamazoo, MI 49007-2557
Phone (269) 349-2641

555 W Crosstown Pkwy
200 Wmed Health
Kalamazoo, MI 49008-1999
Phone (269) 337-6500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301106196MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W. Sparrow Hospital Association Single Specialty CurrentSince Sep 18, 2023 Accepting new patients
Family Health Center Inc CurrentSince May 1, 2025 Accepting new patients
Edward W Sparrow Hospital Association Family Medicine CurrentSince Sep 18, 2023 Accepting new patients
Western Michigan University School of Medicine Single Specialty CurrentSince Apr 1, 2025 Accepting new patients
Family Health Center Inc Single Specialty CurrentSince May 1, 2025 Accepting new patients
Edward W. Sparrow Hospital Association Single Specialty Current Accepting new patients
Edward W Sparrow Hospital Association Past Accepting new patients
Michigan State University Kalamazoo Center for Medical Studies Single Specialty Past Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients
Bronson Methodist Hospital Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

1000 Oakland Dr
Kalamazoo, MI 49008
Phone (269) 337-4347

117 W Paterson St
Kalamazoo, MI 49007

505 E Alcott St
Kalamazoo, MI 49001
Phone 2693492641 ext. 715

555 W Crosstown Pkwy
Kalamazoo, MI 49008
Phone (269) 350-0243

555 W Crosstown Pkwy
Ste 200
Kalamazoo, MI 49008
Phone (269) 337-6500

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1235544081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24911 LITTLE MACK AVE STE C",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480803200",
            "telephone_number": "586-447-9064",
            "fax_number": "586-447-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24911 LITTLE MACK AVE STE C",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480803200",
            "telephone_number": "586-447-9064",
            "fax_number": "586-447-9081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 E Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489121811",
            "country_code": "US",
            "telephone_number": "517-364-2570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGLE",
        "first_name": "SARAH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301106196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.