Individual provider Active NPI

Samuel Shaheen, M.D.

  • Surgery Physician
  • Saginaw, MI
National Provider Identifier
1437142577
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301071618 Issued in MI
Practice address
912 S Washington Ave Ste 1
Saginaw, MI 48601-2578
Phone
(989) 790-1001
Fax
(989) 790-1002
NPI assigned
Aug 24, 2005
Last updated
Sep 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301071618 MI Primary

Addresses

Primary practice location

912 S Washington Ave Ste 1
Saginaw, MI 48601-2578

Mailing address

912 S Washington Ave
Ste 1
Saginaw, MI 48601-2564
Phone (989) 790-1001

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sshaheen1286@direct.covenanthealthcare.com

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
I20100317001082 MI Practitioner - General Surgery 2769455575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Michigan Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

912 S Washington Ave
Suite 1
Saginaw, MI 48601-2578
Phone (989) 790-1001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.39 of 100Reported as apm
Quality
73.44
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301071618MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saginaw Cooperative Hospitals, Inc Current Accepting new patients
Saginaw Cooperative Hospitals, Inc Surgery CurrentSince Aug 26, 2013 Accepting new patients
Saginaw Cooperative Hospital Inc CurrentSince Aug 26, 2013 Accepting new patients
Midwestern Surgical Associates PC PastSince Sep 23, 2002 Accepting new patients
Saginaw Cooperative Hospitals, Inc Past Accepting new patients
Saginaw Geriatrics Home LLC PastSince May 18, 2009 Accepting new patients

Locations

3190 Northridge Rd
Hale, MI 48739
Phone (989) 728-4211

1000 Houghton Ave
Saginaw, MI 48602
Phone (989) 583-6800

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

912 S Washington Ave
Saginaw, MI 48601
Phone (989) 791-4100

912 S Washington Ave
Ste 1
Saginaw, MI 48601
Phone (989) 746-7857

Interoperability endpoints

  • Direct secure messaging: sshaheen1286@direct.covenanthealthcare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1437142577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 S WASHINGTON AVE",
            "address_2": "STE 1",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486012564",
            "telephone_number": "989-790-1001",
            "fax_number": "989-790-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 S WASHINGTON AVE STE 1",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486012578",
            "telephone_number": "989-790-1001",
            "fax_number": "989-790-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHEEN",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301071618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sshaheen1286@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "912 S Washington Ave",
            "address_2": "Ste 1",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486012564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.