Active NPI
Saeed Basheer Sufyan, PA
- Medical Physician Assistant
- Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 1601 E Kalamazoo St
Lansing, MI 48912-2701 - Phone
- (517) 862-2915
- NPI assigned
- Jun 15, 2022
- Last updated
- Oct 10, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | NU | Primary | |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
1601 E Kalamazoo St
Lansing, MI 48912-2701
Mailing address
2191 Meadowlawn Dr Apt B
Holt, MI 48842-1242
Phone (517) 410-1254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9925 San Jose Blvd
Suite 1
Jacksonville, FL 32257-5899
Phone (904) 328-5504
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avecina Medical PA | Current | Accepting new patients | |
| Jacksonville Carenow Urgent Care, LLC | Current | Accepting new patients | |
| Avecina Medical, PA | Current | Accepting new patients | |
| Specialty Investments | Past | Accepting new patients | |
| Avecina Medical PA | Past | Accepting new patients | |
| Lansing Urgent Care, PLC | Past | Accepting new patients |
Locations
4815 Sweetgrass Pl
Unit 201
Jacksonville, FL 32224
Phone (904) 367-3372
9580 Applecross Rd
Ste 106
Jacksonville, FL 32222
Phone (904) 778-9180
9925 San Jose Blvd
Ste 1
Jacksonville, FL 32257
Phone (904) 328-5504
1633 Race Track Rd
Ste 101
St Johns, FL 32259
Phone (904) 230-6988
Interoperability endpoints
- saeed.sufyan.p1@direct.ichd.nextgenshare.com
Organizations & group practices 7
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.
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1447771670
-
dba KRSI;Katranji Hand Center;MichiganTherapy Center;Meridian Surgeons;
- Surgery of the Hand (Surgery) Physician
- East Lansing, MI
- NPI 1336314210
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1053981142
-
- Urgent Care Clinic/Center
- Yulee, FL
- NPI 1962200717
-
- Urgent Care Clinic/Center
- Lansing, MI
- NPI 1780987990
-
dba Spartan Urgent Care
- Urgent Care Clinic/Center
- East Lansing, MI
- NPI 1104101112
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1215082003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665360000000",
"number": "1780314435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2191 MEADOWLAWN DR APT B",
"city": "HOLT",
"state": "MI",
"postal_code": "488421242",
"telephone_number": "517-410-1254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 E KALAMAZOO ST",
"city": "LANSING",
"state": "MI",
"postal_code": "489122701",
"telephone_number": "517-862-2915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUFYAN",
"first_name": "SAEED",
"middle_name": "BASHEER",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-15",
"last_updated": "2022-10-10",
"certification_date": "2022-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.