Individual provider Active NPI

Sameena Masood Zahoor, MD

  • Family Medicine Physician
  • Plymouth, MI
National Provider Identifier
1649242280
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301070947 Issued in MI
Practice address
851 S Main St Ste B
Plymouth, MI 48170-2086
Phone
(734) 713-4000
Fax
(734) 713-4001
NPI assigned
Feb 7, 2006
Last updated
Jan 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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 4301070947 MI Primary

Addresses

Primary practice location

851 S Main St Ste B
Plymouth, MI 48170-2086

Mailing address

851 S Main St Ste B
Plymouth, MI 48170-2086
Phone (734) 453-5100

Other identifiers 2

IdentifierTypeStateIssuer
0808227761OtherMIBCBS INDIVIDUAL
4630332MedicaidMI

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
I20041001000111 MI Practitioner - Internal MedicinePractitioner - Family Practice 1557330974 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Wayne State University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VMD Primary Providers Eastern Michigan PCGroup PAC ID 9234480575, 63 clinicians

Practice addresses (Care Compare)

422 N Ctr St
Main Center Family Medicine
Northville, MI 48167-1224
Phone (248) 248-1131

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers Eastern Michigan, PC Family Medicine CurrentSince Feb 20, 2023 Accepting new patients
Bloomfield Medical Center PLC Family Medicine Past Accepting new patients

Locations

422 N Center St
Northville, MI 48167
Phone (248) 348-1131

42931 7 Mile Rd
Northville, MI 48167
Phone (248) 348-2442

39475 Lewis Dr
Ste 130
Novi, MI 48377
Phone (248) 374-0502

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8825/brand/4/csg/1/fhir/r4
  • Direct secure messaging: sameena.zahoor.1@21803.direct.athenahealth.com

Organizations & group practices 3

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 1

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1649242280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 S MAIN ST STE B",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702086",
            "telephone_number": "734-453-5100",
            "fax_number": "734-453-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 S MAIN ST STE B",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702086",
            "telephone_number": "734-713-4000",
            "fax_number": "734-713-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAHOOR",
        "first_name": "SAMEENA",
        "middle_name": "MASOOD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301070947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL",
            "identifier": "0808227761",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4630332",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

Verify at the official NPI Registry.