Individual provider Active NPI

Reshma Vasu, MD

  • Student in an Organized Health Care Education/Training Program
  • Saginaw, MI
National Provider Identifier
1285473108
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
4351052284 Issued in MI
Practice address
1575 Concentric Blvd
Saginaw, MI 48604-9311
Phone
(224) 830-6355
NPI assigned
May 21, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 4351052284 MI Primary

Addresses

Primary practice location

1575 Concentric Blvd
Saginaw, MI 48604-9311

Mailing address

3540 Wallingford Way Apt K12
Saginaw, MI 48603-1878
Phone (224) 830-6355

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
I20240805000855 MI Order and Referring Only - Family PracticePractitioner - Family Practice 6709323074

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4351052284MIMDStudent in an Organized Health Care Education/Training Program

Interoperability endpoints

  • Direct secure messaging: reshma.vasu.1@27771.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1285473108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 WALLINGFORD WAY APT K12",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486031878",
            "telephone_number": "224-830-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 CONCENTRIC BLVD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486049311",
            "telephone_number": "224-830-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASU",
        "first_name": "RESHMA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4351052284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.