Individual provider Active NPI

Pegah Akbari, MD

  • Family Medicine Physician
  • Durand, MI
National Provider Identifier
1972164788
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4351045445 Issued in MI
Practice address
9099 E Lansing Rd Ste a
Durand, MI 48429-1083
Phone
(989) 288-2651
Fax
(989) 288-2084
NPI assigned
Jun 23, 2019
Last updated
Oct 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4351045445 MI Primary

Addresses

Primary practice location

9099 E Lansing Rd Ste a
Durand, MI 48429-1083

Mailing address

9099 E Lansing Rd Ste a
Durand, MI 48429-1083
Phone (989) 288-2651

Other identifiers 1

IdentifierTypeStateIssuer
1972164788MedicaidMI

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
I20220627000556 MI Practitioner - Family Practice 3971833294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial HospitalGroup PAC ID 8527976497, 210 clinicians

Practice addresses (Care Compare)

818 W King St
101 MH Family Medicine and Multispecialty Kin
Owosso, MI 48867-2159
Phone (989) 725-8171

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.58 of 100Reported as group
Quality
58.15
Promoting interoperability
100
Improvement activities
40
Cost
74.45

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Family Medicine Current Accepting new patients
Memorial Hospital Family Medicine CurrentSince Aug 1, 2022 Accepting new patients
Memorial Hospital CurrentSince Aug 1, 2022 Accepting new patients
Memorial Hospital Past Accepting new patients

Locations

9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273

9099 E Lansing Rd
Ste A
Durand, MI 48429
Phone (989) 288-2651

818 W King St
Ste 101
Owosso, MI 48867
Phone (989) 723-1390

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1561248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1972164788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9099 E LANSING RD STE A",
            "city": "DURAND",
            "state": "MI",
            "postal_code": "484291083",
            "telephone_number": "989-288-2651",
            "fax_number": "989-288-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9099 E LANSING RD STE A",
            "city": "DURAND",
            "state": "MI",
            "postal_code": "484291083",
            "telephone_number": "989-288-2651",
            "fax_number": "989-288-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKBARI",
        "first_name": "PEGAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-23",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4351045445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972164788",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durand, MI

Sources for this page

Verify at the official NPI Registry.