Individual provider Active NPI

Abdul G Arshad, MD

  • Surgery Physician
  • Adrian, MI
National Provider Identifier
1669489258
Registry record updated Apr 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301057336 Issued in MI
Practice address
750 High St
Adrian, MI 49221-1443
Phone
(517) 264-5111
Fax
(517) 264-5139
NPI assigned
Aug 3, 2006
Last updated
Apr 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301057336 MI Primary

Addresses

Primary practice location

750 High St
Adrian, MI 49221-1443

Mailing address

750 High St
Adrian, MI 49221-1443
Phone (517) 264-5111

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
I20061201000354 MI Practitioner - General Surgery 1153329016 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301057336MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Corporation of Michigan Surgery CurrentSince Jul 1, 2006 Accepting new patients

Locations

200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335484800000",
    "number": "1669489258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 HIGH ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211443",
            "telephone_number": "517-264-5111",
            "fax_number": "517-264-5139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 HIGH ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211443",
            "telephone_number": "517-264-5111",
            "fax_number": "517-264-5139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARSHAD",
        "first_name": "ABDUL",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2012-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301057336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

Verify at the official NPI Registry.