Individual provider Active NPI

Shaker F Saad, MD

  • Internal Medicine Physician
  • Derby, CT
National Provider Identifier
1710032131
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
38638 Issued in CT
Practice address
130 Division St
Derby, CT 06418-1326
Phone
(203) 732-1330
Fax
(203) 732-1332
NPI assigned
Jan 24, 2007
Last updated
Mar 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036164869 IL
Internal Medicine Physician 207R00000X 38638 CT Primary
Hospitalist Physician 208M00000X 28999 AZ
Hospitalist Physician 208M00000X 036164869 IL

Addresses

Primary practice location

130 Division St
Derby, CT 06418-1326

Mailing address

1618 Goldrush Rd
Suite 227
Bullhead City, AZ 86442-8380
Phone (928) 704-1422

Other practice location 1

1618 Goldrush Rd Apt 227
Bullhead City, AZ 86442-8388
Phone (928) 234-1679

Other practice location 2

2771 Silver Creek Rd
Suite 104
Bullhead City, AZ 86442-7959
Phone (928) 704-1422

Other identifiers 2

IdentifierTypeStateIssuer
AZ0734220OtherAZBCBS PROVIDER ID
569022MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CT, PA, IL, NY5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20040524000116 AZ Practitioner - Internal Medicine 7810988227 Reassigns benefits to 2 organizations
Practice locations: Bullhead City, AZ
I20221117001757 CT Practitioner - Hospitalist 7810988227 Reassigns benefits to 3 organizations
I20230424001075 PA Practitioner - Internal Medicine 7810988227 Reassigns benefits to 3 organizations
I20230913003876 IL Practitioner - HospitalistPractitioner - Internal Medicine 7810988227 Reassigns benefits to 3 organizations
I20250214002273 NY Practitioner - Hospitalist 7810988227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Macoupin Physician Services, PCGroup PAC ID 7416345947, 12 clinicians
Pennsylvania HM Associates, PCGroup PAC ID 0547404337, 31 clinicians

Practice addresses (Care Compare)

20733 N Broad St
Carlinville, IL 62626-3710
Phone (217) 854-3141

334 Main St
Dickson City, PA 18519-1668
Phone (507) 307-1767

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Statera Health Care, LLC CurrentSince Sep 1, 2023 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
Regional Health Services Inc Internal Medicine CurrentSince Jun 1, 2023 Accepting new patients
Endeavor Health Medical Group CurrentSince Mar 11, 2024 Accepting new patients
Mt Graham Regional Medical Center Inc CurrentSince Oct 1, 2025 Accepting new patients
Northwest HBP Medical Services LLC Hospitalist CurrentSince May 17, 2024 Accepting new patients
Endeavor Health Medical Group Internal Medicine Current Accepting new patients
New York Medical Physician Associates PC Hospitalist CurrentSince Feb 11, 2025 Accepting new patients
New York Medical Physician Associates PC Internal Medicine CurrentSince Feb 11, 2025 Accepting new patients
Griffin Faculty Physicians, Inc. Internal Medicine CurrentSince Mar 1, 2025 Accepting new patients
Pennsylvania HM Associates PC Hospitalist CurrentSince Sep 17, 2025 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Sep 1, 2022 Accepting new patients
Aims Physicians and Surgeons Internal Medicine Past Accepting new patients
Northwest Sahuarita Hospital LLC Past Accepting new patients
Lehigh Valley Hospital- Pocono Past Accepting new patients
Arizona Medical Services, PC PastSince Apr 28, 2005 Accepting new patients
Greater Phoenix Collaborative Care PC Past Accepting new patients
Greater Phoenix Collaborative Care PC Past Accepting new patients
Northwest Sahuarita Hospital LLC Past Accepting new patients

Locations

1600 S 20th Ave
Safford, AZ 85546
Phone (928) 348-4000

2200 S Houghton Rd
Tucson, AZ 85748
Phone (520) 287-5728

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

130 Division St
Derby, CT 06418
Phone (203) 732-1330

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

2 Hot Metal St
Bldg 3RD
Pittsburgh, PA 15203

334 Main St
Scranton, PA 18519
Phone (570) 307-1767

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 4

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1710032131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 GOLDRUSH RD",
            "address_2": "SUITE 227",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428380",
            "telephone_number": "928-704-1422",
            "fax_number": "928-704-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 DIVISION ST",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181326",
            "telephone_number": "203-732-1330",
            "fax_number": "203-732-1332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1618 Goldrush Rd Apt 227",
            "address_purpose": "LOCATION",
            "city": "Bullhead City",
            "state": "AZ",
            "postal_code": "864428388",
            "country_code": "US",
            "telephone_number": "928-234-1679",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2771 Silver Creek Rd",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Bullhead City",
            "state": "AZ",
            "postal_code": "864427959",
            "country_code": "US",
            "telephone_number": "928-704-1422",
            "fax_number": "928-704-1457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAAD",
        "first_name": "SHAKER",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036164869",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "38638",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "28999",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036164869",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "AZ0734220",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "569022",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, CT

Sources for this page

Verify at the official NPI Registry.