Individual provider Active NPI

Yazdi N Amaria, M.D.

  • Family Medicine Physician
  • Sturgis, MI
National Provider Identifier
1619976271
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301049704 Issued in MI
Practice address
111 S Monroe St
Sturgis, MI 49091-1728
Phone
(269) 651-3218
NPI assigned
Jul 17, 2005
Last updated
May 27, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2008

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 4301049704 MI Primary

Addresses

Primary practice location

111 S Monroe St
Sturgis, MI 49091-1728

Mailing address

111 S Monroe St
Sturgis, MI 49091-1728
Phone (269) 651-3218

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
I20080520000700 MI Practitioner - Family PracticePractitioner - Preventive MedicinePractitioner - Geriatric MedicinePractitioner - Pediatric MedicinePractitioner - Obstetrics/GynecologyPractitioner - General SurgeryPractitioner - General PracticePractitioner - Urology 9537053046 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revolution Health PCGroup PAC ID 2264865633, 8 clinicians

Practice addresses (Care Compare)

104 S Lakeview Ave
Sturgis, MI 49091-1947
Phone (269) 319-8850

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy13
Upper gastrointestinal (GI) endoscopy for acid reflux11
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Revolution Health PC CurrentSince Jun 11, 2025 Accepting new patients
Promed Healthcare CurrentSince Oct 14, 2019 Accepting new patients
Beacon Medical Group Michigan Inc Family Medicine Current Accepting new patients
Beacon Medical Group Michigan Inc CurrentSince Oct 14, 2019 Accepting new patients
Revolution Health PC CurrentSince Jun 11, 2025 Accepting new patients
Thurston Woods Village, Inc. Past Accepting new patients

Locations

121 E Franklin St
Colon, MI 49040
Phone (269) 432-3221

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

104 S Lakeview Ave
Sturgis, MI 49091
Phone (269) 319-8850

1555 E Chicago Rd
Sturgis, MI 49091
Phone (269) 651-3218

916 Myrtle St
Sturgis, MI 49091
Phone (269) 651-7824

Interoperability endpoints

  • Direct secure messaging: yazdi.amaria.1@20006.direct.athenahealth.com

Organizations & group practices 8

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 4

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": "1121558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1619976271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S MONROE ST",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490911728",
            "telephone_number": "269-651-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S MONROE ST",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490911728",
            "telephone_number": "269-651-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMARIA",
        "first_name": "YAZDI",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-17",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301049704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sturgis, MI

Sources for this page

Verify at the official NPI Registry.