Individual provider Active NPI

Gavin I Awerbuch MD PLLC, MD

  • Neurology Physician
  • Saginaw, MI
National Provider Identifier
1811984487
Registry record updated Jan 23, 2014
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Apr 18, 2019.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
4301405226 Issued in MI
Practice address
5889 Bay Rd
Ste #104
Saginaw, MI 48604
Phone
(989) 791-7999
Fax
(989) 791-7996
NPI assigned
Sep 29, 2005
Last updated
Jan 23, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU
Neurology Physician 2084N0400X 4301405226 MI Primary

Addresses

Primary practice location

5889 Bay Rd
Ste #104
Saginaw, MI 48604

Mailing address

5889 Bay Rd
Ste #104
Saginaw, MI 48604
Phone (989) 791-7999

Other identifiers 1

IdentifierTypeStateIssuer
2582817MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Gavin Awerbuch MD PLLC Specialist PastSince Sep 23, 1987 Accepting new patients
Michigan Sleep Specialists Specialist Past Accepting new patients
Advanced Sleep Disorder Center LLC Past Accepting new patients
Advanced Sleep Disorder Center LLC Past Accepting new patients
Sleep Diagnostic & Research of Arizona PastSince Dec 25, 2012 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8017/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1811984487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5889 BAY RD",
            "address_2": "STE #104",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48604",
            "telephone_number": "989-791-7999",
            "fax_number": "989-791-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5889 BAY RD",
            "address_2": "STE #104",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48604",
            "telephone_number": "989-791-7999",
            "fax_number": "989-791-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWERBUCH MD PLLC",
        "first_name": "GAVIN",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301405226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2582817",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.