Individual provider Active NPI

Urooj Beenish, M.D

  • Family Medicine Physician
  • Owosso, MI
National Provider Identifier
1578050563
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301503323 Issued in MI
Practice address
200 N Caledonia Dr
Owosso, MI 48867-8844
Phone
(989) 729-4848
Fax
(989) 729-4849
NPI assigned
Apr 16, 2018
Reactivated
Dec 10, 2018
Last updated
May 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301503323 MI Primary

Addresses

Primary practice location

200 N Caledonia Dr
Owosso, MI 48867-8844

Mailing address

200 N Caledonia Dr
Owosso, MI 48867-8844
Phone (248) 252-9164

Other names 1

  • Mrs. Urooj Beenish Other name

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
I20210921000704 MI Practitioner - Family Practice 2961752589 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial HospitalGroup PAC ID 8527976497, 210 clinicians

Practice addresses (Care Compare)

218 W Main St
Flushing, MI 48433-2032
Phone (989) 723-5211

300 S Chapman St
MH Family Medicine Chesaning
Chesaning, MI 48616-1304
Phone (989) 845-7644

3337 Britton Rd
Perry, MI 48872-9706
Phone (517) 625-3004

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.58 of 100Reported as group
Quality
58.15
Promoting interoperability
100
Improvement activities
40
Cost
74.45

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Family Medicine Current Accepting new patients
Memorial Hospital Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
Great Lakes Bay Health Centers CurrentSince Jul 30, 2021 Accepting new patients
Memorial Hospital CurrentSince Aug 1, 2024 Accepting new patients
Great Lakes Bay Health Centers CurrentSince Jul 30, 2021 Accepting new patients
Memorial Hospital Past Accepting new patients

Locations

300 S Chapman St
Chesaning, MI 48616
Phone (989) 729-4142

9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273

218 W Main St
Ste 300
Flushing, MI 48433
Phone (989) 720-7569

113 E Williams St
Owosso, MI 48867
Phone (989) 725-6101

200 N Caledonia Dr
Owosso, MI 48867
Phone (989) 729-4848

3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004

501 Lapeer Ave
#R
Saginaw, MI 48607
Phone (989) 753-6000

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": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1578050563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N CALEDONIA DR",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488678844",
            "telephone_number": "248-252-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N CALEDONIA DR",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488678844",
            "telephone_number": "989-729-4848",
            "fax_number": "989-729-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEENISH",
        "first_name": "UROOJ",
        "name_prefix": "Mrs.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "deactivation_date": "2018-11-28",
        "reactivation_date": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301503323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "UROOJ",
            "last_name": "BEENISH",
            "prefix": "MRS.",
            "credential": "M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Owosso, MI

Sources for this page

Verify at the official NPI Registry.