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MEMORIAL HEALTHCARE
NPI 1538795356
General Practice in Owosso, MI

Active since March 13, 2020CLIA 23D0983410 · Waiver
200 HEALTH PARK DR STE 205, OWOSSO, MI 48867(989) 723-8666(989) 725-1434 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 16, 2024, Sep 21, 2022, Mar 13, 2020 (3 updates tracked since 2020).

About Memorial Healthcare NPPES

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

MEMORIAL HEALTHCARE (NPI 1538795356) is a healthcare organization registered as a general practice in Owosso, Michigan and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through April 1, 2028 and lists Jorri M Tremain, Cfo, as its authorized official.

NPPES Registry Identity

NPI1538795356
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMEMORIAL HOSPITAL
Location Address200 HEALTH PARK DR STE 205Owosso, MI 48867-1291
Mailing Address113 E Williams StOwosso, MI 48867-2360 · (989) 725-6528 · Fax (989) 723-9446
Phone(989) 723-8666
Fax(989) 725-1434
Organization SubpartYes
Authorized OfficialJorri M TremainCfo · (989) 729-4466
Enumeration DateMarch 13, 2020
Last NPPES UpdateApril 16, 20243 updates tracked since enumeration
NPPES CertifiedApril 16, 2024
✔ NPI 1538795356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
200 HEALTH PARK DR STE 205, Owosso, MI 48867
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Other Names 1

Doing Business AsMemorial Healthcare

Other Identifiers 1

Medicaid1538795356MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Memorial Healthcare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

328

Medicare enrollment records show 328 clinicians reassign Medicare billing to Memorial Healthcare, which bills Medicare for the services they deliver. Of these, 99 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 35

Nurse Practitioner54
Emergency Medicine42
Internal Medicine37
Certified Registered Nurse Anesthetist (CRNA)33
Anesthesiology20
Family Practice20
Neurology19
Obstetrics/Gynecology16
27 other specialties87

Nearest to this location (20)

See all 328
Angela Badra, MD
General Practice
NPI 1295726081
204 W EXCHANGE ST
Owosso, MI 48867
(323) 723-0046
✔ PECOS✔ Accepts Medicare0.2 mi
Ashraf Elbanna, MD
Orthopedic Surgery
NPI 1710208947
113 E WILLIAMS ST
Owosso, MI 48867
(866) 678-4644
✔ PECOS✔ Accepts Medicare0.2 mi
Daniel Bernard
Nurse Practitioner
NPI 1578363826
503 E MAIN ST
Owosso, MI 48867
(989) 754-3000
✔ PECOS✔ Accepts Medicare0.4 mi
Jeffrey Kepes, MD
Pediatric Medicine
NPI 1316334253
317 S ELM ST STE 205A
Owosso, MI 48867
(989) 729-4317
✔ PECOS✔ Accepts Medicare0.5 mi
Ebrahim Abdelrazzak, MD
Internal Medicine
NPI 1215458922
802 W KING ST STE J
Owosso, MI 48867
(989) 729-4071
✔ PECOS✔ Accepts Medicare0.6 mi
Nazar Al Saidi, MD
Psychiatry
NPI 1831158153
802 W KING ST STE G
Owosso, MI 48867
(989) 725-8124
✔ PECOS✔ Accepts Medicare0.6 mi
Mohammad Daoud, MD
Endocrinology
NPI 1508218033
802 W KING ST STE C
Owosso, MI 48867
(989) 729-4131
✔ PECOS✔ Accepts Medicare0.6 mi
Stacy Schaufele, LMSW
Clinical Social Worker
NPI 1497983753
802 W KING ST STE O
Owosso, MI 48867
(989) 723-1120
✔ PECOS✔ Accepts Medicare0.6 mi
Mandell Bookman, M.D.
Urology
NPI 1598775702
818 W KING ST SUITE 202
Owosso, MI 48867
(989) 723-1529
✔ PECOS✔ Accepts Medicare0.7 mi
Anas Alsara, MD
Hospitalist
NPI 1932498599
721 N SHIAWASSEE ST STE 101
Owosso, MI 48867
(989) 729-4673
✔ PECOS✔ Accepts Medicare0.7 mi
Mustafa Huseini, MD
Gastroenterology
NPI 1073613808
721 N SHIAWASSEE ST STE 202
Owosso, MI 48867
(989) 729-1600
✔ PECOS✔ Accepts Medicare0.7 mi
Ronald Kawauchi, MD
Hematology/Oncology
NPI 1275625147
721 N SHIAWASSEE ST STE 101
Owosso, MI 48867
(989) 729-4673
✔ PECOS✔ Accepts Medicare0.7 mi
Gary Branch, DO
Physical Medicine and Rehabilitation
NPI 1205894557
819 N SHIAWASSEE ST STE 210
Owosso, MI 48867
(989) 541-2663
✔ PECOS✔ Accepts Medicare0.7 mi
Anthony Brune, DO
Neurology
NPI 1528403169
819 N SHIAWASSEE ST STE 110
Owosso, MI 48867
(989) 723-1390
✔ PECOS✔ Accepts Medicare0.7 mi
Rory Cocks, DPM
Podiatry
NPI 1265938799
819 N SHIAWASSEE ST STE 205
Owosso, MI 48867
(989) 541-2663
✔ PECOS✔ Accepts Medicare0.7 mi
Maria Galang-Qahwash, DO
Ophthalmology
NPI 1952594079
802 W KING ST STE A
Owosso, MI 48867
(989) 288-3300
✔ PECOS✔ Accepts Medicare0.7 mi
Gerald Pruitt, DO
Pulmonary Disease
NPI 1356399232
802 W KING ST STE J
Owosso, MI 48867
(989) 729-4071
✔ PECOS✔ Accepts Medicare0.7 mi
Phincy Arangattu, MD
Family Practice
NPI 1760008213
818 W KING ST STE 101
Owosso, MI 48867
(989) 725-8171
✔ PECOS✔ Accepts Medicare0.7 mi
Ira Frye, MD
Obstetrics/Gynecology
NPI 1184846354
818 W KING ST STE LL
Owosso, MI 48867
(989) 729-4292
✔ PECOS✔ Accepts Medicare0.7 mi
Sasha Spencley, DO
General Surgery
NPI 1427409762
818 W KING ST STE 201
Owosso, MI 48867
(989) 723-3168
✔ PECOS✔ Accepts Medicare0.7 mi
See all 328 clinicians

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0983410

Memorial Healthcare Family Medicine - Owosso · Owosso, MI
Active · expires Apr 1, 2028
CLIA Number23D0983410
Laboratory TypePhysician Office
Certificate Effective DateApril 2, 2026
Certificate Expiration DateApril 1, 2028
Laboratory DirectorAngela Badra
Laboratory Phone(989) 723-8666
Laboratory LocationMemorial Healthcare Family Medicine - Owosso200 Health Park Drive Suite 201, Owosso, MI 48867
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Memorial Hospital's NPI number?

The NPI number for Memorial Hospital is 1538795356. It was assigned to this organization in the NPPES registry on March 13, 2020. The provider is doing business as Memorial Healthcare.

Where is Memorial Hospital located?

Memorial Hospital is located at 200 Health Park Dr Ste 205, Owosso, MI 48867. The listed phone number is (989) 723-8666.

What is Memorial Hospital's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Memorial Hospital enrolled in Medicare?

Yes. Memorial Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 328 clinicians in 35 Medicare specialties reassign their Medicare billing to Memorial Hospital. A 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 the clinician's services. The largest specialties are Nurse Practitioner (54), Emergency Medicine (42) and Internal Medicine (37). Of these, 99 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0983410) is associated with this NPI, valid through April 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Memorial Hospital was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.