Organization Active NPI

Columbiaville Family Clinic PLLC

  • Family Medicine Physician
  • Saginaw, MI
National Provider Identifier
1457716102
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301059644 Issued in MI
Legal business name
COLUMBIAVILLE FAMILY CLINIC PLLC
Practice address
2575 McLeod Dr N Ste a
Saginaw, MI 48604-2857
Phone
(989) 797-5532
Fax
(989) 797-5537
NPI assigned
Dec 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Authorized official

Name
Naveed Mahfooz, MDNPI 1780639450
Title
Owner
Phone
(989) 672-2100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 4301059644 MI Primary

Addresses

Primary practice location

2575 McLeod Dr N Ste a
Saginaw, MI 48604-2857

Mailing address

2575 McLeod Dr N
Saginaw, MI 48604-2857
Phone (989) 797-5532

Other practice location 1

4046 Hess Ave
Saginaw, MI 48601-4261
Phone (989) 797-5532

Other identifiers 2

IdentifierTypeStateIssuer
MI9475OtherMIMEDICARE PIN
CV0064209MedicaidMI

Other names 2

  • Jehad Jafari Clinic Doing business as
  • Saginaw Family Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160201002278 MI Part B Supplier - Clinic/Group Practice 9133423890 Receives reassigned benefits from 18 practitioners
Practice locations: Saginaw, MI

National Provider Directory

National Provider Directory

Locations

4526 Pine St
Columbiaville, MI 48421
Phone (810) 545-6099

2575 McLeod Dr N
Saginaw, MI 48604
Phone (989) 797-5532

2575 McLeod Dr N
Ste A
Saginaw, MI 48604
Phone (810) 631-4060

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15478/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1457716102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 MCLEOD DR N",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042857",
            "telephone_number": "989-797-5532",
            "fax_number": "989-797-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 MCLEOD DR N STE A",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042857",
            "telephone_number": "989-797-5532",
            "fax_number": "989-797-5537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4046 Hess Ave",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486014261",
            "country_code": "US",
            "telephone_number": "989-797-5532",
            "fax_number": "989-797-5537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLUMBIAVILLE FAMILY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-23",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "MAHFOOZ",
        "authorized_official_first_name": "NAVEED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-672-2100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301059644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "MI9475",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CV0064209",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jehad Jafari Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Saginaw Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.