Individual provider Active NPI

Nassar Al-Zubaidi, M.D

  • Internal Medicine Physician
  • Mt Pleasant, MI
National Provider Identifier
1538475876
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301103803 Issued in MI
Practice address
1201 South Dr
Suite 341
Mount Pleasant, MI 48858-3256
Phone
(989) 953-4169
NPI assigned
Aug 24, 2010
Last updated
Aug 5, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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 4301103803 MI Primary

Addresses

Primary practice location

1201 South Dr
Suite 341
Mount Pleasant, MI 48858-3256

Mailing address

1168 Meadow Dr
Mount Pleasant, MI 48858-8988
Phone (773) 563-4343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301103803MIMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1538475876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1168 MEADOW DR",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488588988",
            "telephone_number": "773-563-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SOUTH DR",
            "address_2": "SUITE 341",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488583256",
            "telephone_number": "989-953-4169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-ZUBAIDI",
        "first_name": "NASSAR",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-24",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301103803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.