Debasish Mridha, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

DM066728 Issued in MI

Practice address

4705 Towne Ctr
Suite 201
Saginaw, MI 48604-2818

Phone

(989) 799-2770

Fax

(989) 799-2737

NPI assigned

Jun 25, 2006

Last updated

Jan 10, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Neurology

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Covenant Medical Center Hospital, Saginaw, MI, CCN 230070
• Mymichigan Medical Center Saginaw Hospital, Saginaw, MI, CCN 230077
• McLaren Bay Region Hospital, Bay City, MI, CCN 230041

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

89.21

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: debasishmridha@mancp-mi.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Michigan Advanced Neurology Center, PLLC

  dba Manc

  • Neurology Physician
  • Saginaw, MI
  • NPI 1003004086
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Covenant Medical Center, Inc.

  dba Covenant Healthcare

  • General Acute Care Hospital
  • Saginaw, MI
  • NPI 1588656946
  Care Compare affiliation
• McLaren Bay Region

  • General Acute Care Hospital
  • Bay City, MI
  • NPI 1528031226
  Care Compare affiliation
• Mymichigan Medical Center Saginaw

  • General Acute Care Hospital
  • Saginaw, MI
  • NPI 1871507509
  Care Compare affiliation

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1851327159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 TOWNE CENTRE RD STE 201",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042821",
            "telephone_number": "989-799-2770",
            "fax_number": "989-799-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 TOWNE CTR",
            "address_2": "SUITE 201",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042818",
            "telephone_number": "989-799-2770",
            "fax_number": "989-799-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MRIDHA",
        "first_name": "DEBASISH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2024-01-10",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "DM066728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104695041",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DebasishMridha@MANCP-MI.direct.office.nextgen.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4705 Towne Ctr",
            "address_2": "SUITE 201",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486042818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• George Thomas Moylan III, DO
• Landon Moyle
• Mpower Primary Care PLC (MPower Primary Care)
• Mr. Van's Shoe Repair
• Shireen Mreish, MD
• Cammie Lyn Mrugalski
• Charles Mueller, M.D.
• Madison Mueller
• Matthew Joseph Muempfer, LMSW
• Rachael Muex

• Neurology Physician in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Neurology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.

Verify at the official NPI Registry.