Individual provider Active NPI

Madiha Zeeshan, MD

  • Family Medicine Physician
  • Grand Blanc, MI
National Provider Identifier
1396638318
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4351054226 Issued in MI
Practice address
8461 Parkside Dr
Grand Blanc, MI 48439-7442
Phone
(517) 414-2188
Fax
(810) 732-9548
NPI assigned
May 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4351054226 MI Primary

Addresses

Primary practice location

8461 Parkside Dr
Grand Blanc, MI 48439-7442

Mailing address

8461 Parkside Dr
Grand Blanc, MI 48439-7442
Phone (517) 414-2188

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
I20250612003444 MI Order and Referring Only - Family PracticePractitioner - Family Practice 8729260484

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Michigan Home Health and Hospice LLC Family Medicine Current Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mid Michigan Home Health and Hospice LLCFlint, MI, CCN 231640 Hospice 5% Or Greater Direct Ownership Interest (100%)
Corporate Director (100%)
W-2 Managing Employee (100%)
Mar 10, 2011
Mar 10, 2011
Mar 10, 2011

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1396638318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8461 PARKSIDE DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397442",
            "telephone_number": "517-414-2188",
            "fax_number": "810-732-9548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8461 PARKSIDE DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397442",
            "telephone_number": "517-414-2188",
            "fax_number": "810-732-9548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEESHAN",
        "first_name": "MADIHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4351054226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.