NPIMap

Individual provider Active NPI

Sohaib Mandoorah

  • Emergency Medicine Physician
  • Saginaw, MI
National Provider Identifier
1336677228
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301506124 Issued in MI
Practice address
1000 Houghton Ave
Saginaw, MI 48602-5303
Phone
(989) 583-6800
NPI assigned
May 23, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301506124 MI Primary

Addresses

Primary practice location

1000 Houghton Ave
Saginaw, MI 48602-5303

Mailing address

1000 Houghton Ave
Saginaw, MI 48602-5303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220715002463 MI Practitioner - Critical Care (Intensivists) 2567732779 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 2013
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)

800 S Washington Ave
Saginaw, MI 48601-2551
Phone (989) 907-8000

Hospital & facility affiliations

  • Mymichigan Medical Center Saginaw Hospital, Saginaw, MI, CCN 230077
  • Tawas St Joseph Hospital Hospital, Tawas City, MI, CCN 230100
  • Saint Mary'S Standish Community Hospital Hospital, Standish, MI, CCN 231305
  • Memorial Healthcare Hospital, Owosso, MI, CCN 230121
  • Mymichigan Medical Center Midland Hospital, Midland, MI, CCN 230222

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Mymichigan Medical Center Saginaw CurrentSince Jul 1, 2022 Accepting new patients
Mymichigan Medical Center Saginaw CurrentSince Jul 1, 2022 Accepting new patients
Mymichigan Medical Center Saginaw Current Accepting new patients
Degara App, PLLC Emergency Medicine CurrentSince Jan 15, 2023 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

401 N Hooper St
Caro, MI 48723
Phone (517) 673-3141

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

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

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

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

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

295 Maple St
Ste 201
Tawas City, MI 48763
Phone (989) 362-0188

Organizations & group practices 6

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 12

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": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1336677228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HOUGHTON AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HOUGHTON AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025303",
            "telephone_number": "989-583-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDOORAH",
        "first_name": "SOHAIB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-23",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301506124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.