NPIMap

Individual provider Active NPI

Imran Mir

  • Internal Medicine Physician
  • Saginaw, MI
National Provider Identifier
1467628388
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301092308 Issued in MI
Practice address
1000 Houghton Ave
Saginaw, MI 48602-5303
Phone
(989) 583-6838
Fax
(989) 583-6915
NPI assigned
Apr 30, 2008
Last updated
Nov 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301092308 MI Primary

Addresses

Primary practice location

1000 Houghton Ave
Saginaw, MI 48602-5303

Mailing address

1000 Houghton Ave
Saginaw, MI 48602-5303
Phone (989) 583-6800

Other practice location 1

387 N State Rd Ste A
Otisville, MI 48463-9503
Phone (810) 631-4060

Other practice location 2

3020 Boardwalk Dr
Saginaw, MI 48603-2324
Phone (989) 791-3888

Other practice location 3

1525 W Caro Rd
Caro, MI 48723-9686
Phone (989) 860-0088

Other practice location 4

2575 McLeod Dr N Ste A
Saginaw, MI 48604-2857
Phone (989) 791-5537

Other identifiers 1

IdentifierTypeStateIssuer
1467628388MedicaidMI

Other names 1

  • Imran Mir Professional name

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
I20080815000684 MI Practitioner - Internal Medicine 3072688688 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthsource Saginaw IncGroup PAC ID 2961475876, 16 clinicians
Mohamed Ally Health Plaza PLLCGroup PAC ID 1052538006, 3 clinicians

Practice addresses (Care Compare)

3340 Hospital Rd
Saginaw, MI 48603-9622
Phone (989) 790-7790

387 N State Rd
Suite a
Otisville, MI 48463-9503
Phone (810) 631-4060

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saginaw Cooperative Hospitals, Inc CurrentSince Jul 15, 2008 Accepting new patients
Healthsource Saginaw Inc CurrentSince Aug 24, 2010 Accepting new patients
Saginaw Cooperative Hospitals, Inc Internal Medicine Current Accepting new patients
Columbiaville Family Clinic PLLC CurrentSince Mar 8, 2021 Accepting new patients
Saginaw Cooperative Hospital Inc Internal Medicine CurrentSince Jul 15, 2008 Accepting new patients
Caro Health Plaza PLC Internal Medicine CurrentSince Aug 1, 2014 Accepting new patients
Caro Health Plaza PLC CurrentSince Aug 1, 2014 Accepting new patients
Saginaw Valley Walk in Clinic, PLLC CurrentSince May 1, 2016 Accepting new patients
Shattuck Family Physicians PLLC Internal Medicine CurrentSince Feb 1, 2017 Accepting new patients
Mohamed Ally Health Plaza PLLC Internal Medicine CurrentSince Jul 23, 2014 Accepting new patients

Locations

1525 W Caro Rd
Caro, MI 48723
Phone (989) 672-2100

387 N State Rd
Ste A
Otisville, MI 48463
Phone (810) 631-4060

387 N State Rd
Ste B
Otisville, MI 48463
Phone (810) 631-0355

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

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

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

3020 Boardwalk Dr
Saginaw, MI 48603
Phone (989) 791-3852

3340 Hospital Rd
Saginaw, MI 48603
Phone (989) 790-7700

3785 Bay Rd
Saginaw, MI 48603

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15223/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/15478/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/20296/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/saginaw-e4d72067
  • Direct secure messaging: imran.mir.2@15223.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1467628388",
    "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",
            "telephone_number": "989-583-6800",
            "fax_number": "989-583-6915"
        },
        {
            "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": "989-583-6838",
            "fax_number": "989-583-6915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "387 N State Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Otisville",
            "state": "MI",
            "postal_code": "484639503",
            "country_code": "US",
            "telephone_number": "810-631-4060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3020 Boardwalk Dr",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486032324",
            "country_code": "US",
            "telephone_number": "989-791-3888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1525 W Caro Rd",
            "address_purpose": "LOCATION",
            "city": "Caro",
            "state": "MI",
            "postal_code": "487239686",
            "country_code": "US",
            "telephone_number": "989-860-0088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2575 McLeod Dr N Ste A",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486042857",
            "country_code": "US",
            "telephone_number": "989-791-5537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIR",
        "first_name": "IMRAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-30",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301092308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467628388",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IMRAN",
            "last_name": "MIR",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.