Nadeem Ullah MD PLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

4301068267 Issued in MI

Legal business name

NADEEM ULLAH MD PLC

Practice address

200 Summit Ave Ste B
Jackson, MI 49201-2465

Phone

(517) 768-1225

Fax

(517) 768-1250

NPI assigned

Dec 18, 2009

Last updated

Feb 28, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristina Rowe

Title

Credentialing

Phone

(517) 485-0001

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nadeem Ullah, MD

  • Gastroenterology Physician
  • Jackson, MI
  • NPI 1477592996
  Medicare reassignment NPD

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1730418831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 LAKE LANSING RD STE 100",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123798",
            "telephone_number": "517-485-9676",
            "fax_number": "517-485-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SUMMIT AVE STE B",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012465",
            "telephone_number": "517-768-1225",
            "fax_number": "517-768-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADEEM ULLAH MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-18",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "ROWE",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "517-485-0001"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301068267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730418831",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "110C800500",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "110C800500",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DQ1127",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mykala Enterprises, Llcdba Right at Home
• Muhammad Nabeel, MD
• Angel Fay Nadeau, RN
• Gabrielle Monique Nadeau
• Nadeem Ullah MD
• Amy Lynne Nagaj, LMSW
• Priyamvada Nagesh, M.D.
• Reddivalem Venkata Nagesh, MD
• Noel Nagy
• Patricia Jean Nakfoor, MD

• Gastroenterology Physician in Jackson, MI
• Providers in Jackson, MI by specialty
• Gastroenterology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.

Verify at the official NPI Registry.