Individual provider Active NPI

Vasanth Stalin, M.D.

  • Surgery Physician
  • Saginaw, MI
National Provider Identifier
1265694335
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301097830 Issued in MI
Practice address
912 S Washington Ave
Ste. 1
Saginaw, MI 48601-2564
Phone
(989) 790-1001
Fax
(989) 790-1002
NPI assigned
Jun 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD28996 OR
Surgery Physician 208600000X 91503 OH
Surgery Physician 208600000X 4301097830 MI Primary

Addresses

Primary practice location

912 S Washington Ave
Ste. 1
Saginaw, MI 48601-2564

Mailing address

1015 S Washington Ave FL 3
Saginaw, MI 48601-2556
Phone (989) 907-8716

Other practice location 1

1 Genesys Pkwy Ste 4642
Grand Blanc, MI 48439-8065
Phone (810) 606-7669 ext. 3

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
I20110323001015 MI Practitioner - General Surgery 6406907252 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center SaginawGroup PAC ID 6305737156, 111 clinicians

Practice addresses (Care Compare)

1015 S Washington Ave FL
3 Mymichigan Bariatic Surgery
Saginaw, MI 48601-2556
Phone (989) 907-8716

Hospital & facility affiliations

  • Mymichigan Medical Center Saginaw Hospital, Saginaw, MI, CCN 230077
  • Mymichigan Medical Center Midland Hospital, Midland, MI, CCN 230222

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301097830MIMDSurgery Physician
91503OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Saginaw Current Accepting new patients
Genesys Practice Partners, Inc CurrentSince Mar 1, 2018 Accepting new patients
Mymichigan Medical Center Saginaw Surgery CurrentSince Jul 1, 2019 Accepting new patients
Genesys Practice Partners Inc Current Accepting new patients
Genesys Practice Partners Inc CurrentSince Mar 1, 2018 Accepting new patients
Mymichigan Medical Center Saginaw CurrentSince Jul 1, 2019 Accepting new patients
Mymichigan Medical Center Saginaw Current Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients
Sky Lakes Medical Center Inc Past Accepting new patients

Locations

1460 N Center Rd
Rm 2074
Burton, MI 48509

3399 Pollock Rd
Ste A
Grand Blanc, MI 48439
Phone (810) 606-7550

1 Genesys Pkwy
Ste 4642
Grand Blanc, MI 48439
Phone 8106067669 ext. 3

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

1015 S Washington Ave
Fl 3
Saginaw, MI 48601
Phone (989) 907-7530

3570 Shattuck Rd
Saginaw, MI 48603
Phone (989) 792-5353

4599 Towne Centre Rd
Saginaw, MI 48604
Phone (989) 497-3000

1015 S Washington Ave
Saginaw, MI 48601
Phone (989) 754-3289

800 S Washington Ave
Saginaw, MI 48601
Phone (989) 776-8000

1015 S Washington Ave
Ste 3
Saginaw, MI 48601

Interoperability endpoints

  • Direct secure messaging: vasanth.stalin.1@11016.direct.athenahealth.com
  • Direct secure messaging: vasanthstalin@smomsjhsys.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1265694335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 S WASHINGTON AVE FL 3",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486012556",
            "telephone_number": "989-907-8716",
            "fax_number": "989-907-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 S WASHINGTON AVE",
            "address_2": "STE. 1",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486012564",
            "telephone_number": "989-790-1001",
            "fax_number": "989-790-1002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Genesys Pkwy Ste 4642",
            "address_purpose": "LOCATION",
            "city": "Grand Blanc",
            "state": "MI",
            "postal_code": "484398065",
            "country_code": "US",
            "telephone_number": "810-606-7669 x3",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STALIN",
        "first_name": "VASANTH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD28996",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "91503",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301097830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.