Nada Sareini, AGNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

4704238291 Issued in MI

Practice address

18610 Fenkell St
Detroit, MI 48223

Phone

(313) 723-6000

Fax

(313) 424-4058

NPI assigned

Apr 2, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI, IL, CA, AZ, FL, ME, MN, PA, TX, NJ, NY, OR, WA, LA, NC, VA, SC, OH, NV19 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 19

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ez Health Medical Group PAGroup PAC ID 7214469816, 34 clinicians

Ez Health Medical Group West PCGroup PAC ID 4284133893, 15 clinicians

Brooklyn Family Medicine Practice PCGroup PAC ID 7911401260, 18 clinicians

Ez Health Medical Group East PCGroup PAC ID 5799273447, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Brooklyn Family Medicine Practice PC

  • Family Medicine Physician
  • New York, NY
  • NPI 1730972654

  NY

  Medicare reassignment Care Compare group NPD
• Ez Health Medical Group East PC

  • Family Medicine Physician
  • Marlton, NJ
  • NPI 1063205987

  NJ

  Medicare reassignment Care Compare group NPD
• Ez Health Medical Group West PC

  • Family Medicine Physician
  • San Jose, CA
  • NPI 1659164580

  CA

  Medicare reassignment Care Compare group NPD
• Ez Health Medical Group PA

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1790511442

  AZ, FL, IL, LA, ME, MI, MN, NC, NV, OH, OR, PA, TX, VA, WA

  Medicare reassignment Care Compare group
• Oakland Physical Medicine PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Allen Park, MI
  • NPI 1447446562

  MI

  Medicare reassignment NPD
• Vpa PC

  • Family Medicine Physician
  • Portage, MI
  • NPI 1669091864

  MI

  Medicare reassignment NPD
• Centerwell Senior Primary Care (NC) PC

  • Internal Medicine Physician
  • Gastonia, NC
  • NPI 1073034625

  NC

  Medicare reassignment NPD
• Centerwell Senior Primary Care (SC) PC

  • Internal Medicine Physician
  • Greenville, SC
  • NPI 1376907790

  SC

  Medicare reassignment NPD
• Centerwell Senior Primary Care la CS PC

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1952196495

  LA

  Medicare reassignment NPD
• Centerwell Senior Primary Care TX CS PA

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1659172112

  TX

  Medicare reassignment NPD
• Centerwell Senior Primary Care VA CS PC

  • Internal Medicine Physician
  • Norfolk, VA
  • NPI 1518752054

  VA

  Medicare reassignment NPD
• Centerwell Senior Primary Care Az CS PC

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1255167417

  AZ

  Medicare reassignment

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1578069357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18610 FENKELL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232378",
            "telephone_number": "313-723-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18610 FENKELL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48223",
            "telephone_number": "313-723-6000",
            "fax_number": "313-424-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAREINI",
        "first_name": "NADA",
        "credential": "AGNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704238291",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704238291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFICATION",
            "identifier": "AG02180131",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saratoga Urgent Care PC
• Saratoga Urgent Care PC
• James Francis Sarcheck, DDS
• Taia Sardinas
• Mariam M Sareini, PA-C
• Toufic Sareini
• Ayeshah Sarfaraz, MD, MPH
• Zahra Jabeen Sarfaraz, MD
• Anthony Sargent
• Cynthia Sargent

• All providers in Detroit, MI
• Gerontology Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.