Individual provider Active NPI

Amna Mehdi, DO

  • Gastroenterology Physician
  • Owosso, MI
National Provider Identifier
1265850358
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
5101025699 Issued in MI
Practice address
721 N Shiawassee St Ste 202
Owosso, MI 48867-1632
Phone
(989) 729-1600
Fax
(989) 729-4070
NPI assigned
Apr 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 5101025699 MI Primary

Addresses

Primary practice location

721 N Shiawassee St Ste 202
Owosso, MI 48867-1632

Mailing address

721 N Shiawassee St Ste 202
Owosso, MI 48867-1632
Phone (989) 729-1600

Other identifiers 1

IdentifierTypeStateIssuer
1265850358MedicaidMI

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
I20200729000459 MI Practitioner - Gastroenterology 0244661437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial HospitalGroup PAC ID 8527976497, 210 clinicians

Practice addresses (Care Compare)

721 N Shiawassee St
202 Memorial Healthcare Gastroenterology
Owosso, MI 48867-1632
Phone (989) 729-1600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.58 of 100Reported as group
Quality
58.15
Promoting interoperability
100
Improvement activities
40
Cost
74.45

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy105
Upper gastrointestinal (GI) endoscopy for acid reflux56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101025699MIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital CurrentSince Sep 8, 2020 Accepting new patients
Memorial Hospital Internal Medicine Current Accepting new patients
Memorial Hospital Gastroenterology CurrentSince Sep 8, 2020 Accepting new patients
Memorial Hospital Past Accepting new patients

Locations

9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273

1975 W M 21
Ste 103
Owosso, MI 48867

721 N Shiawassee St
Ste 202
Owosso, MI 48867
Phone (989) 729-1600

3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004

Interoperability endpoints

  • Direct secure messaging: a.mehdi@memorialhealthcare.midirect.net

Organizations & group practices 4

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 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": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1265850358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 N SHIAWASSEE ST STE 202",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488671632",
            "telephone_number": "989-729-1600",
            "fax_number": "989-729-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 N SHIAWASSEE ST STE 202",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488671632",
            "telephone_number": "989-729-1600",
            "fax_number": "989-729-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHDI",
        "first_name": "AMNA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-04",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "5101025699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265850358",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owosso, MI

Sources for this page

Verify at the official NPI Registry.