Jahandar Saifollahi, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

4301079449 Issued in MI

Practice address

Saddle Back Center, Building 751-E Kenmore Avenue, S.E.
Grand Rapids, MI 49546-2391

Phone

(616) 977-1770

Fax

(616) 977-1775

NPI assigned

Aug 13, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

PsychiatryAlso: Geriatric Psychiatry

Education

Other, 1993

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: saifollahi@bhc.direct.emds.com

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.

• Forest View Psychiatric Hospital Inc

  • Neurology Physician
  • Grand Rapids, MI
  • NPI 1902808272
  Medicare reassignment NPD
• Forest View Psychiatric Hospital Inc

  • Psychiatric Hospital
  • Grand Rapids, MI
  • NPI 1740251313
  NPD

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1497901110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1596",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490161596",
            "telephone_number": "269-969-6108",
            "fax_number": "269-969-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SADDLE BACK CENTER, BUILDING 751-E KENMORE AVENUE, S.E.",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462391",
            "telephone_number": "616-977-1770",
            "fax_number": "616-977-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAIFOLLAHI",
        "first_name": "JAHANDAR",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-13",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301079449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine J Sage, D.O.
• Michael Sahara, MD
• Hisham N Sahom, RPH
• Inderjeet Kaur Sahota
• Izak Daniel Sahutske
• Michelle L Saigeon, LMSW
• Breann Sailor
• Carl Ben Sain Jr.
• Sandeep Sainathan, MD
• Morgan Sainsbury, MD

• Neurology Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Neurology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.