Individual provider Active NPI

Emilio Georges Issa, MD

  • Psychiatry Physician
  • Saginaw, MI
National Provider Identifier
1831773639
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301512831 Issued in MI
Practice address
3201 Hallmark CT
Saginaw, MI 48603-2109
Phone
(989) 746-7500
NPI assigned
May 7, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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 4301512831 MI Primary

Addresses

Primary practice location

3201 Hallmark CT
Saginaw, MI 48603-2109

Mailing address

1000 Houghton Ave
Saginaw, MI 48602-5303
Phone (989) 746-7500

Other practice location 1

3901 Walter P. Chrysler Service Drive
Suite 5-A
Detroit, MI 48201
Phone (313) 577-7523

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
I20250703001417 MI Practitioner - Psychiatry 2264831213 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3201 Hallmark CT
Saginaw, MI 48603-2109
Phone (989) 790-5990

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saginaw Cooperative Hospitals, Inc Psychiatry CurrentSince Jul 1, 2025 Accepting new patients
Healthsource Saginaw Inc CurrentSince Aug 21, 2025 Accepting new patients
Saginaw Cooperative Hospitals, Inc Current Accepting new patients
Saginaw Cooperative Hospital Inc CurrentSince Jul 1, 2025 Accepting new patients

Locations

3201 Hallmark Ct
Saginaw, MI 48603
Phone (989) 790-5989

1000 Houghton Ave
Saginaw, MI 48602
Phone (989) 583-6800

3340 Hospital Rd
Saginaw, MI 48603
Phone (989) 790-7700

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/saginaw-e4d72067
  • Direct secure messaging: eissa184325@direct.covenanthealthcare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1831773639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HOUGHTON AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025303",
            "telephone_number": "989-746-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 HALLMARK CT",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032109",
            "telephone_number": "989-746-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Walter P. Chrysler Service Drive",
            "address_2": "Suite 5-A",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "48201",
            "country_code": "US",
            "telephone_number": "313-577-7523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISSA",
        "first_name": "EMILIO",
        "middle_name": "GEORGES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-07",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "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": "4301512831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.