Organization Active NPI

Genesee Lung Associates PC

  • Pulmonary Disease Physician
  • Grand Blanc, MI
National Provider Identifier
1922110477
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
GENESEE LUNG ASSOCIATES PC
Practice address
8220 S Saginaw St Ste 800
Grand Blanc, MI 48439-1890
Phone
(106) 955-8648
Fax
(106) 952-4128
NPI assigned
Aug 31, 2006
Last updated
Dec 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Authorized official

Name
Mohamed Ghath Bayasi, MD
Title
President
Phone
(810) 695-5864

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

8220 S Saginaw St Ste 800
Grand Blanc, MI 48439-1890

Mailing address

8220 S Saginaw St Ste 800
Grand Blanc, MI 48439-1890
Phone (810) 695-5864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080531000059 MI Part B Supplier - Clinic/Group Practice 9032289194 Receives reassigned benefits from 7 practitioners
Practice locations: Grand Blanc, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0857820Genesee Lung Associates, PC8220 S Saginaw St Suite 800, Grand Blanc, MI 48439Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

8220 S Saginaw St
Grand Blanc, MI 48439
Phone (810) 659-5864

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1922110477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 S SAGINAW ST STE 800",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391890",
            "telephone_number": "810-695-5864",
            "fax_number": "810-695-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 S SAGINAW ST STE 800",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391890",
            "telephone_number": "106-955-8648",
            "fax_number": "106-952-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESEE LUNG ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "BAYASI",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "GHATH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-695-5864",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.