Individual provider Active NPI

Zara Masood, M.D.

  • Psychiatry Physician
  • Sault Sainte Marie, MI
National Provider Identifier
1801220769
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301102614 Issued in MI
Practice address
500 Osborn Blvd
Sault Sainte Marie, MI 49783-1822
Phone
(906) 635-4460
NPI assigned
Aug 28, 2013
Last updated
Nov 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 4301102614 MI Primary

Addresses

Primary practice location

500 Osborn Blvd
Sault Sainte Marie, MI 49783-1822

Mailing address

3221 South Dr
Sault Sainte Marie, MI 49783-1140
Phone (571) 234-0353

Other practice location 1

2655 Ashmun St
Sault Sainte Marie, MI 49783-3711
Phone (906) 632-9809

Other practice location 2

1416 W Easterday Ave
Sault Sainte Marie, MI 49783-1415
Phone (906) 635-5542

Other practice location 3

1143 N State St # 6
Saint Ignace, MI 49781-1012
Phone (906) 643-0944

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
I20170503000333 MI Practitioner - Psychiatry 9032496971 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bay Mills Indian CommunityGroup PAC ID 8729079918, 13 clinicians
Mymichigan Medical Center SaultGroup PAC ID 7315936481, 101 clinicians
Sault Tribe of Chippewa IndiansGroup PAC ID 7012982937, 29 clinicians

Practice addresses (Care Compare)

12455 W Lakeshore Dr
Brimley, MI 49715-9327
Phone (906) 248-5527

16523 S Water Tower Dr
Mymichigan Psychiatry
Kincheloe, MI 49788-1592
Phone (906) 632-5849

2864 Ashmun St
Sault S Marie, MI 49783-3740
Phone (906) 632-5200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301102614MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Mills Indian Community Current Accepting new patients
Bay Mills Indian Community CurrentSince Oct 22, 2017 Accepting new patients
Sault Tribe of Chippewa Indians Current Accepting new patients
Mymichigan Medical Center Sault Current Accepting new patients
Sault Tribe of Chippewa Indians CurrentSince Apr 8, 2019 Accepting new patients
Sault Tribe of Chippewa Indians CurrentSince Apr 8, 2019 Accepting new patients
Mymichigan Medical Center Sault CurrentSince Mar 29, 2017 Accepting new patients
Bay Mills Indian Community CurrentSince Oct 22, 2017 Accepting new patients
Mymichigan Medical Center Sault CurrentSince Mar 29, 2017 Accepting new patients
Sault Tribe of Chippewa Indians Current Accepting new patients
Sault Tribe of Chippewa Indians Current Accepting new patients

Locations

12455 W Lakeshore Dr
Brimley, MI 49715
Phone (906) 248-5527

16523 S Water Tower Dr
Kincheloe, MI 49788
Phone (906) 495-1344

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

1140 N State St
Saint Ignace, MI 49781
Phone (906) 643-0466

2864 Ashmun St
Sault South Marie, MI 49783
Phone (906) 632-5200

500 Osborn Blvd
Sault South Marie, MI 49783
Phone (906) 635-4350

Organizations & group practices 12

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.

Hospital & facility affiliations 1

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": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1801220769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 SOUTH DR",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497831140",
            "telephone_number": "571-234-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OSBORN BLVD",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497831822",
            "telephone_number": "906-635-4460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2655 Ashmun St",
            "address_purpose": "LOCATION",
            "city": "Sault Sainte Marie",
            "state": "MI",
            "postal_code": "497833711",
            "country_code": "US",
            "telephone_number": "906-632-9809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1416 W Easterday Ave",
            "address_purpose": "LOCATION",
            "city": "Sault Sainte Marie",
            "state": "MI",
            "postal_code": "497831415",
            "country_code": "US",
            "telephone_number": "906-635-5542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1143 N State St # 6",
            "address_purpose": "LOCATION",
            "city": "Saint Ignace",
            "state": "MI",
            "postal_code": "497811012",
            "country_code": "US",
            "telephone_number": "906-643-0944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASOOD",
        "first_name": "ZARA",
        "name_prefix": "Miss",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-28",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301102614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sault Sainte Marie, MI

Sources for this page

Verify at the official NPI Registry.