Roshan Mahabir, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

43010503539 Issued in MI

Practice address

4707 McLeod Dr E
Saginaw, MI 48604-2853

Phone

(989) 341-5078

NPI assigned

Aug 19, 2015

Last updated

Jan 19, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michigan Health Clinics PC

  dba MI Health Clinic

  • Anatomic Pathology & Clinical Pathology Physician
  • Saginaw, MI
  • NPI 1023185162
  Medicare reassignment NPD
• Covenant Pathology Associates, PC

  dba MI Health Clinic

  • Diagnostic Radiology Physician
  • Saginaw, MI
  • NPI 1124779061
  NPD
• Michigan Health Clinics PC

  dba Michigan Health Clinics Laboratories

  • Clinical Medical Laboratory
  • Saginaw, MI
  • NPI 1720617947
  NPD
• Covenant Pathology Associates, PC

  dba MI Health Care

  • Infusion Therapy Clinic/Center
  • Saginaw, MI
  • NPI 1972246478
  NPD (past)
• Michigan Health Clinics PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Saginaw, MI
  • NPI 1417575556
  NPD (past)
• Michigan Health Clinics PC

  • Dermatology Physician
  • Saginaw, MI
  • NPI 1467070508

  Anatomic Pathology & Clinical Pathology

  NPD (past)
• Michigan Health Clinics PC

  • Urgent Care Clinic/Center
  • Saginaw, MI
  • NPI 1487396495
  NPD (past)
• Michigan Health Clinics PC

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1962020008
  NPD (past)

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1629444005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 FORTUNE BLVD DEPT OF",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032287",
            "telephone_number": "989-459-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 MCLEOD DR E",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042853",
            "telephone_number": "989-341-5078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 10th Ave",
            "address_2": "Department of Pathology",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100191147",
            "country_code": "US",
            "telephone_number": "646-617-0678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3925 Fortune Blvd Dept Of",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486032287",
            "country_code": "US",
            "telephone_number": "989-459-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHABIR",
        "first_name": "ROSHAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "CA",
            "license": "43010503539",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "43010503539",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MI",
            "license": "43010503539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Venkat Maganti, M.D.
• Kylie Maggard
• Tomilyn Rose Maggart
• Magnum Health and Rehab of Saginaw LLC (MagnumCare of Saginaw LLC)
• Isabella Magnusson
• Ashley Mahaffy, COTA/L
• Denise Ann Mahaffy
• Nicole Esperance Mahirwe, FNP
• Rebekah Mahoney, PHARMD
• Cynthia Lynn Mai

• Anatomic Pathology & Clinical Pathology Physician in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Anatomic Pathology & Clinical Pathology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.