NPIMap

Individual provider Active NPI

Sayf M Altabaqchali, M.D.

  • Interventional Cardiology Physician
  • Jackson, MI
National Provider Identifier
1902105463
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME179619 Issued in FL
Practice address
205 N East Ave
Jackson, MI 49201-1753
Phone
(517) 205-4800
Fax
(313) 876-1305
NPI assigned
Mar 23, 2011
Sex
Male
Sole proprietor
No

Organizations & group practices 32

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.

View all 32

Hospital & facility affiliations 5

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

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence Physicians LLC 223 clinicians
Hilo Benioff Medical Center 131 clinicians
Kau Hospital 138 clinicians
Jackson Cardiology Consultants PLLC 8 clinicians
Adventist Health System-Sunbelt Inc 100 clinicians

Practice addresses (Care Compare)

1130 W 4TH St
Suite 2050
Lawrence, KS 66044-1333
Phone (785) 505-3205

1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone (808) 932-3000

205 Page Ave
Suite B
Jackson, MI 49201-2462
Phone (517) 787-3577

4240 Sun N Lake Blvd
Suite 202
Sebring, FL 33872-1944
Phone (863) 471-3926

Hospital & facility affiliations

  • Adventhealth Sebring Hospital, Sebring, FL, CCN 100109
  • Kau Hospital Hospital, Pahala, HI, CCN 121301
  • Hilo Benioff Medical Center Hospital, Hilo, HI, CCN 120005
  • McLaren Greater Lansing Hospital, Lansing, MI, CCN 230167
  • Henry Ford Allegiance Health Hospital, Jackson, MI, CCN 230092

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Varicose vein removal1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, KS, HI, FL4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20220427000448 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9638399132 Reassigns benefits to 2 organizations
I20251223000225 KS Practitioner - Cardiovascular Disease (Cardiology) 9638399132 Reassigns benefits to 1 organization
I20260408003791 HI Practitioner - Interventional Cardiology 9638399132 Reassigns benefits to 2 organizations
I20260501003026 FL Practitioner - Interventional Cardiology 9638399132 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME179619FLMDInterventional Cardiology Physician
MD-26427HIMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Physicians LLC Cardiovascular Disease CurrentSince Jan 14, 2026 Accepting new patients
W.a. Foote Memorial Hospital, Inc Cardiovascular Disease CurrentSince May 18, 2022 Accepting new patients
Lawrence Physicians LLC CurrentSince Jan 14, 2026 Accepting new patients
Wa Foote Memorial Hospital, Inc Current Accepting new patients
Jackson Cardiology Consultants PLLC Interventional Cardiology CurrentSince Apr 1, 2022 Accepting new patients

Locations

325 Maine St
Lawrence, KS 66044
Phone (785) 505-2988

1130 W 4th St
Ste 2050
Lawrence, KS 66044
Phone (785) 505-3636

205 Page Ave
Ste A
Jackson, MI 49201
Phone (517) 787-3577

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

1701 Lake Lansing Rd
Ste 100
Lansing, MI 48912
Phone (517) 485-9676

Interoperability endpoints

  • Direct secure messaging: sayf.altabaqchali.p1@direct.jacksonendo.nextgenshare.com
  • Direct secure messaging: saltabaqchali789214@direct.hfhs.org

Specialties & licenses 6

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD.207011 LA
Student in an Organized Health Care Education/Training Program 390200000X
Interventional Cardiology Physician 207RI0011X MD-26427 HI
Cardiovascular Disease Physician 207RC0000X 4301099234 MI
Interventional Cardiology Physician 207RI0011X ME179619 FL Primary
Cardiovascular Disease Physician 207RC0000X 036.180772 IL

Addresses

NPPES NPI Registry

Primary practice location

205 N East Ave
Jackson, MI 49201-1753

Mailing address

2220 E Hammond Lake Dr
Bloomfield Township, MI 48302-0131
Phone (248) 631-8175

Other practice location 1

30 Prospect Ave # 551-9960
Hackensack, NJ 07601-1915
Phone (551) 996-3880

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
02356553MedicaidMS
2370049MedicaidLA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 26, 2026.

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1902105463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 E HAMMOND LAKE DR",
            "city": "BLOOMFIELD TOWNSHIP",
            "state": "MI",
            "postal_code": "483020131",
            "telephone_number": "248-631-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N EAST AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011753",
            "telephone_number": "517-205-4800",
            "fax_number": "313-876-1305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Prospect Ave # 551-9960",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076011915",
            "country_code": "US",
            "telephone_number": "551-996-3880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALTABAQCHALI",
        "first_name": "SAYF",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-23",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "MD.207011",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "HI",
            "license": "MD-26427",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301099234",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME179619",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036.180772",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02356553",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2370049",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.