Active NPI
Hussein a Saad MD PC
- Sports Medicine (Orthopaedic Surgery) Physician
- Dearborn, MI
National Provider Identifier
1629332689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 4301089927
- Legal business name
- HUSSEIN A SAAD MD PC
- Practice address
- 21031 Michigan Ave
Dearborn, MI 48124-2339 - Phone
- (313) 277-6700
- Fax
- (313) 277-2483
- NPI assigned
- Jun 25, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tricia L Adamen
- Title
- Practice Manager
- Phone
- (313) 277-6700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 4301089927 | MI | Primary |
Addresses
Primary practice location
21031 Michigan Ave
Dearborn, MI 48124-2339
Mailing address
21031 Michigan Ave
Dearborn, MI 48124-2339
Phone (313) 277-6700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629332689 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Trenton, MI
- NPI 1902227341
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Dearborn, MI
- NPI 1235339011
-
- Physician Assistant
- Allen Park, MI
- NPI 1962757294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576022400000",
"number": "1629332689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21031 MICHIGAN AVE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242339",
"telephone_number": "313-277-6700",
"fax_number": "313-277-2483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21031 MICHIGAN AVE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242339",
"telephone_number": "313-277-6700",
"fax_number": "313-277-2483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUSSEIN A SAAD MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-25",
"last_updated": "2019-12-11",
"certification_date": "2019-12-11",
"status": "A",
"authorized_official_last_name": "ADAMEN",
"authorized_official_first_name": "TRICIA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "313-277-6700"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "MI",
"license": "4301089927",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1629332689",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.