Individual provider Active NPI

Mathew Reza Saffarian, D.O.

  • Physical Medicine & Rehabilitation Physician
  • East Lansing, MI
National Provider Identifier
1356662332
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
5101018903 Issued in MI
Practice address
4660 S Hagadorn Rd Ste 520
East Lansing, MI 48823-6804
Phone
(517) 884-8701
Fax
(517) 884-8787
NPI assigned
Jun 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 5101018903 MI Primary

Addresses

Primary practice location

4660 S Hagadorn Rd Ste 520
East Lansing, MI 48823-6804

Mailing address

804 Service Rd # A109F
East Lansing, MI 48824-7015
Phone (517) 884-2976

Other practice location 1

1200 E Michigan Ave Ste 520
Lansing, MI 48912-1899
Phone (517) 364-5260

Other identifiers 1

IdentifierTypeStateIssuer
1356662332MedicaidMI

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
I20140519000520 MI Practitioner - Physical Medicine and Rehabilitation 9537382643 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Michigan State University College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edward W Sparrow Hospital AssociationGroup PAC ID 6709799166, 698 clinicians
Msu Health Care Inc.Group PAC ID 8628404936, 201 clinicians

Practice addresses (Care Compare)

2900 Hannah Blvd
East Lansing, MI 48823-5384
Phone (517) 364-8070

4660 S Hagadorn Rd
Suite 420
East Lansing, MI 48823-5353
Phone (517) 884-6100

Hospital & facility affiliations

  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230
  • McLaren Greater Lansing Hospital, Lansing, MI, CCN 230167
  • University of Michigan Health- Sparrow Clinton Hospital, Saint Johns, MI, CCN 231326

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan State University CurrentSince Jun 1, 2014 Accepting new patients
Msu Health Care Inc. CurrentSince Jul 1, 2020 Accepting new patients
Msu Health Care Inc CurrentSince Jul 1, 2020 Accepting new patients
Edward W. Sparrow Hospital Association Physical Medicine & Rehabilitation CurrentSince Sep 1, 2016 Accepting new patients
Michigan State University Current Accepting new patients
Michigan State University Physical Medicine & Rehabilitation CurrentSince Jun 1, 2014 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Sep 1, 2016 Accepting new patients
Msu Health Care Inc. Past Accepting new patients
Edward W. Sparrow Hospital Association Past Accepting new patients
Msu Health Care Inc. Physical Medicine & Rehabilitation PastSince Feb 9, 2020 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

804 Service Rd
#A109F
East Lansing, MI 48824
Phone (517) 884-2976

2900 Hannah Blvd
Ste B102
East Lansing, MI 48823
Phone (517) 364-8050

4660 S Hagadorn Rd
Ste 420
East Lansing, MI 48823
Phone (517) 884-6100

4660 S Hagadorn Rd
Ste 520
East Lansing, MI 48823
Phone (517) 884-8701

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

4650 S Hagadorn Rd
Ste 100
East Lansing, MI 48823
Phone (517) 353-4830

2900 Hannah Blvd
East Lansing, MI 48823
Phone (517) 336-4520

1200 E Michigan Ave
Ste 520
Lansing, MI 48912
Phone (517) 364-5151

1200 E Michigan Ave
Ste 655
Lansing, MI 48912
Phone (517) 267-2460

1600 W Grand River Ave
Ste 2
Okemos, MI 48864
Phone (517) 349-6560

Interoperability endpoints

  • Direct secure messaging: mathew.saffarian.1@25394.direct.athenahealth.com

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": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1356662332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD # A109F",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "517-884-2976",
            "fax_number": "517-432-3928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 S HAGADORN RD STE 520",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236804",
            "telephone_number": "517-884-8701",
            "fax_number": "517-884-8787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 E Michigan Ave Ste 520",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489121899",
            "country_code": "US",
            "telephone_number": "517-364-5260",
            "fax_number": "517-364-5251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAFFARIAN",
        "first_name": "MATHEW",
        "middle_name": "REZA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-14",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5101018903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356662332",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.