Active NPI
Yasmin Sahul, MD
- Family Medicine Physician
- Harbor Beach, MI
National Provider Identifier
1306912696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301075119
- Practice address
- 8970 Sand Beach Rd
Harbor Beach, MI 48441-9324 - Phone
- (989) 479-3291
- Fax
- (989) 479-3365
- NPI assigned
- Nov 28, 2006
- Last updated
- May 14, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301075119 | MI | Primary |
Addresses
Primary practice location
8970 Sand Beach Rd
Harbor Beach, MI 48441-9324
Mailing address
210 S 1St St
Harbor Beach, MI 48441-1236
Phone (989) 479-3291
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4573460 | Medicaid | MI |
Other names 1
- Yasmin Sahul
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210709000758 | MI | Order and Referring Only - Family Practice | 4789579475 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yasmin Sahul, MD, PLLC | Family Medicine | Past | Accepting new patients |
| St Clair Pulmonary & Critical Care P C | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/a2aabeb9-840e-4290-b28b-f0bb3ed955f9/
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368489600000",
"number": "1306912696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 S 1ST ST",
"city": "HARBOR BEACH",
"state": "MI",
"postal_code": "484411236",
"telephone_number": "989-479-3291",
"fax_number": "989-479-3365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8970 SAND BEACH RD",
"city": "HARBOR BEACH",
"state": "MI",
"postal_code": "484419324",
"telephone_number": "989-479-3291",
"fax_number": "989-479-3365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAHUL",
"first_name": "YASMIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2013-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301075119",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4573460",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "YASMIN",
"last_name": "SAHUL",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Harbor Beach, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.