Dr. Payam Sadro, M.D.
Family Medicine in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1316201486
StatusActive
Last updated in NPPESJul 3, 2012
Details
- NPI
- 1316201486
- Entity type
- Individual (NPI-1)
- Name
- Dr. Payam Sadro
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 3, 2012
- Last updated
- Jul 3, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 4301100984 | MI | Yes |
Practice location
300 Lafayette Ave Se4000
Grand Rapids, MI 49503-4692
Phone 616-685-6922
Mailing address
300 Lafayette Ave Se4000
Grand Rapids, MI 49503-4692
Phone 616-685-6922
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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