Yazdi N Amaria, M.D.
Individual provider Active NPI Family Medicine Physician · Sturgis, MI
NPI 1619976271 · NPPES record last updated May 27, 2008
Key facts
- NPI
- 1619976271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4301049704 (MI)
- Practice address
- 111 S Monroe St
Sturgis, MI 49091-1728 - Phone
- (269) 651-3218
- NPI assigned
- Jul 17, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Revolution Health PC
Practice addresses (Care Compare)
104 S Lakeview Ave
Sturgis, MI 49091-1947
Phone (269) 319-8850
Hospital & facility affiliations
- Elara Caring
- Sturgis Hospital
- Three Rivers Health
- Froh Community Home
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 13 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 11 |
| Removal of tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080520000700 | MI | Practitioner - Family Practice |
9537053046 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revolution Health PC | Current |
Accepting new patients | |
| Promed Healthcare | Current |
Accepting new patients | |
| Ascension Medical Group Promed | Family Medicine | Current | Accepting new patients |
| Ascension Medical Group Promed | Current |
Accepting new patients | |
| Revolution Health PC | Current |
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
916 Myrtle St
Sturgis, MI 49091
Phone (269) 651-7824
1555 E Chicago Rd
Sturgis, MI 49091
Phone (269) 651-7114
Interoperability endpoints
- yazdi.amaria.1@20006.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301049704 | MI | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13039 | Other | MI | HEALTH PLAN OF MICHIGAN |
| 0005218428 | Other | AETNA | |
| 0107500492 | Other | MI | BLUE CROSS BLUE SHIELD |
| 1018312 | Other | MI | MCLAREN HEALTH PLAN |
| 113029 | Other | MI | GREAT LAKES HEALTH PLAN |
| 2883801 | Medicaid | MI |
NPI Registry JSON
{
"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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN OF MICHIGAN",
"identifier": "13039",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0005218428",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0107500492",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEALTH PLAN",
"identifier": "1018312",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKES HEALTH PLAN",
"identifier": "113029",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2883801",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sturgis, MI
- Ayorinde Adekunle
- Advanas Foot & Ankle Specialists PLC
- Agency With Choice Services, LLC
- Air Ambulance Provider
- Alexis Flowers LMSW, LLC
- Kelly Marie Amrein
- Heather Anderson
- Ascension Medical Group Promed
- Dante Avila
- Youhanna Aziz
All providers in Sturgis, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.