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DR. VISHAL SAINI M.D.
NPI 1477866390
Family Medicine - Sleep Medicine in Saginaw, MI

Active since July 20, 2010PECOS EnrolledAccepts Medicare Assignment
4701 TOWNE CENTRE RD, STE 201, SAGINAW, MI 48604(989) 792-2792(989) 792-1792 Get Directions Write a Review

NPPES record last updated: February 26, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 26, 2020, Dec 9, 2019, Feb 1, 2016 (3 updates tracked since 2016).

About Dr. Vishal Saini M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VISHAL SAINI M.D. (NPI 1477866390) is an individual sleep medicine provider in Saginaw, Michigan, licensed in Michigan (4301103337) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Eaton Rapids Medical Center, and maintains a secondary practice location in Ionia.

NPPES Registry Identity

NPI1477866390
Entity TypeIndividualMale
Primary Taxonomy207QS1201X
Provider Legal NameDR. VISHAL SAINICredential: M.D.
Location Address4701 TOWNE CENTRE RD, STE 201Saginaw, MI 48604-2833
Mailing Address4701 Towne Centre Rd, Ste 201Saginaw, MI 48604-2833 · (616) 523-1600 · Fax (616) 523-1601
Phone(989) 792-2792
Fax(989) 792-1792
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 20, 2010
Last NPPES UpdateFebruary 26, 20203 updates tracked since enumeration
✔ NPI 1477866390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS1201X
License✔ Licensed in MI · 4301103337
Definition
A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 4301103337 (MI)
4701 TOWNE CENTRE RD, Saginaw, MI 48604
Open in Google Maps ↗

Secondary Practice Location 1

Location 1550 E Washington StIonia, MI 48846-2202 · Phone (616) 523-1600 · Fax (616) 523-1601

Other Identifiers 2

Other0340063MI · Bcbs
Medicaid1477866390MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Vishal Saini M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779721402
PECOS Enrollment IDI20140929002648
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Vishal Saini reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sparrow Carson Hospital
35 mi
Rural Health
114 N MAIN ST
Ithaca, MI 48847
  • Reassigned Medicare billing, Michigan enrollment
  • 215 clinicians in this Medicare group
NPI 1770553547 (989) 875-4166
Sparrow Clinton Hospital
45 mi
Critical Access
805 S OAKLAND ST
Saint Johns, MI 48879
  • Reassigned Medicare billing, Michigan enrollment
  • 114 clinicians in this Medicare group
NPI 1093809824 (989) 224-6881
Sparrow Eaton Hospital
57 mi
School
509 BURCHAM DR STE 59
East Lansing, MI 48823
  • Reassigned Medicare billing, Michigan enrollment
  • 137 clinicians in this Medicare group
NPI 1063227486 (517) 253-6320
Midwest Center For Sleep Disorders-Lansing Plc
61 mi
Sleep Medicine
3937 PATIENT CARE WAY, SUITE 102
Lansing, MI 48911
  • Reassigned Medicare billing, Michigan enrollment
  • 5 clinicians in this Medicare group
NPI 1356439392 (517) 887-6733
Sparrow Ionia Hospital
63 mi
Rural Health
9751 E GRAND RIVER AVE
Portland, MI 48875
  • Reassigned Medicare billing, Michigan enrollment
  • Also billed through NPI 1033271143 (Michigan), NPI 1700820065 (Michigan)
  • 317 clinicians in this Medicare group
NPI 1295801108 (517) 647-6722
Beacon Allegan Inc
116 mi
Critical Access
555 LINN ST
Allegan, MI 49010
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Ascension Borgess Allegan Hospital
  • 36 clinicians in this Medicare group
NPI 1295803377 (269) 686-4051

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
424 services320 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
112 services109 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
111 services111 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
88 services87 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
61 services58 patients
Electronic analysis of neurostimulator generator with simple cranial nerve stimulator programming 95976
This procedure involves using electronic devices to analyze and adjust a neurostimulator generator. This device helps regulate nerve activity in the brain, improving certain neurological conditions. The programming is kept simple for easy understanding and management.
23 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Eaton Rapids Medical Center

Critical Access Hospitals · Eaton Rapids, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231324
Location1500 S Main StreetEaton Rapids, MI 48827 · Eaton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
50%26 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
67%36 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 17

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
35 suppliers337 claims337 services$38.18 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
26 suppliers125 claims125 services$93.88 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
23 suppliers119 claims235 services$35.94 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
16 suppliers127 claims535 services$19.29 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
16 suppliers120 claims558 services$15.61 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
26 suppliers244 claims244 services$58.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RONALD A BAYS MD
Surgery (Vascular Surgery)
4701 TOWNE CENTRE RD, SUITE 202
SAGINAW, MI 48604
Saginaw County (989) 790-2600
SOUND A SLEEP PLC
Otolaryngology (Sleep Medicine)
4701 TOWNE CENTRE RD, SUITE 203
SAGINAW, MI 48604
Saginaw County (989) 792-2792
DR. TAREK TAHA MD
Orthopaedic Surgery
4701 TOWNE CENTRE RD, SUITE 303
SAGINAW, MI 48604
Saginaw County (989) 790-6719
NARENDRA R KUMAR M.D, PC
Otolaryngology
4701 TOWNE CENTRE RD, STE 201
SAGINAW, MI 48604
Saginaw County (989) 793-1040
VALLEY RHEUMATOLOGY ASSOCIATES, PLLC
Internal Medicine (Rheumatology)
4701 TOWNE CENTRE RD, MEDICAL ARTS #2 SUITE 101
SAGINAW, MI 48604
Saginaw County (989) 791-4657
JAMIE STEVENSON FNP-C
Nurse Practitioner (Family)
4701 TOWNE CENTRE RD
SAGINAW, MI 48604
Saginaw County (989) 792-2792
MR. JONATHAN KERRY MURDOCK DO
Surgery (Vascular Surgery)
4701 TOWNE CENTRE RD
SAGINAW, MI 48604
Saginaw County (989) 790-2600
MR. NICHOLAS ROBERT SELISKAR NP
Nurse Practitioner (Acute Care)
4701 TOWNE CENTRE RD
SAGINAW, MI 48604
Saginaw County (989) 790-2600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vishal Saini's NPI number?

The NPI number for Vishal Saini is 1477866390. It was assigned to this individual provider in the NPPES registry on July 20, 2010.

Where is Vishal Saini located?

Vishal Saini practices at 4701 Towne Centre Rd Ste 201, Saginaw, MI 48604. The listed phone number is (989) 792-2792.

What is Vishal Saini's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sleep Medicine, with taxonomy code 207QS1201X.

Is Vishal Saini enrolled in Medicare?

Yes. Vishal Saini is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Vishal Saini's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vishal Saini reassigns Medicare benefits to 6 organizations: Sparrow Carson Hospital (Ithaca, MI), Sparrow Clinton Hospital (Saint Johns, MI), Sparrow Eaton Hospital (East Lansing, MI), Midwest Center For Sleep Disorders-Lansing Plc (Lansing, MI), Sparrow Ionia Hospital (Portland, MI) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vishal Saini's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vishal Saini accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Vishal Saini as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Vishal Saini affiliated with any hospitals?

According to CMS data, Vishal Saini is affiliated with Eaton Rapids Medical Center.

When was this NPI record last updated?

The NPPES record for Vishal Saini was last updated on February 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.