Individual provider Active NPI

Louis F Byrne, MD

  • Family Medicine Physician
  • Saginaw, MI
National Provider Identifier
1740200658
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
381956277 Issued in MI
Practice address
5200 State St
Saginaw, MI 48603-3713
Phone
(989) 793-4250
Fax
(989) 793-6880
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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 381956277 MI Primary

Addresses

Primary practice location

5200 State St
Saginaw, MI 48603-3713

Mailing address

5200 State St
Saginaw, MI 48603-3713
Phone (989) 793-4250

Other identifiers 1

IdentifierTypeStateIssuer
1006750 TYPE 10MedicaidMI

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
I20080721000606 MI Practitioner - Family Practice 4789757931 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saginaw Valley Family Care, PLLC Family Medicine CurrentSince Dec 17, 2018 Accepting new patients

Locations

5200 State St
Saginaw, MI 48603
Phone (989) 793-4250

4386 State St
Saginaw, MI 48603
Phone (989) 793-4250

Interoperability endpoints

  • Direct secure messaging: lbyrne416@direct.covenanthealthcare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1740200658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 STATE ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033713",
            "telephone_number": "989-793-4250",
            "fax_number": "989-793-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 STATE ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033713",
            "telephone_number": "989-793-4250",
            "fax_number": "989-793-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRNE",
        "first_name": "LOUIS",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "381956277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1006750 TYPE 10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.