FAJAR PASHA MD
NPI 1699470070
Student in an Organized Health Care Education/Training Program in Jackson, MI

Q: What is Fajar Pasha's NPI number?

The NPI number for Fajar Pasha is 1699470070. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Q: What is Fajar Pasha's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Fajar Pasha was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 04, 2023PECOS Enrolled

205 N EAST AVE, JACKSON, MI 49201(517) 205-7060 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Fajar Pasha Md NPPES

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

FAJAR PASHA MD (NPI 1699470070) is an individual student in an organized health care education/training program in Jackson, Michigan and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1699470070

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameFAJAR PASHACredential: MD

Location Address205 N EAST AVEJackson, MI 49201-1753

Mailing Address205 N East AveJackson, MI 49201-1753 · (517) 205-7060

Phone(517) 205-7060

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateApril 4, 2023

NPPES CertifiedApril 3, 2023

✔ NPI 1699470070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

205 N EAST AVE, Jackson, MI 49201

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fajar Pasha Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527420835

PECOS Enrollment IDI20260706001523

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 Reassignment

Medicare enrollment records show Fajar Pasha reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Edward W. Sparrow Hospital Association

23 mi

Emergency Medicine

800 E COLUMBIA ST
Mason, MI 48854

Reassigned Medicare billing, Michigan enrollment
916 clinicians in this Medicare group

NPI 1689683641 (517) 244-8900

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

Other Providers at the Same Location NPPES 20

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

SAMANTHA RENE DANEK PA-C

Physician Assistant