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NADEEM ULLAH MD PLC
NPI 1730418831
Internal Medicine - Gastroenterology in Jackson, MI

Active since December 18, 2009
200 SUMMIT AVE STE B, JACKSON, MI 49201(517) 768-1225(517) 768-1250 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 28, 2025, Jan 14, 2020 (2 updates tracked since 2020).

About Nadeem Ullah Md Plc NPPES

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

NADEEM ULLAH MD PLC (NPI 1730418831) is a healthcare organization registered as a gastroenterology in Jackson, Michigan and active in the NPI registry since December 2009. The organization lists Kristina Rowe, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1730418831
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameNADEEM ULLAH MD PLC
Location Address200 SUMMIT AVE STE BJackson, MI 49201-2465
Mailing Address1701 Lake Lansing Rd Ste 100Lansing, MI 48912-3798 · (517) 485-9676 · Fax (517) 485-2622
Phone(517) 768-1225
Fax(517) 768-1250
Organization SubpartNo
Authorized OfficialKristina RoweCredentialing · (517) 485-0001
Enumeration DateDecember 18, 2009
Last NPPES UpdateFebruary 28, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2025
✔ NPI 1730418831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in MI · 4301068267
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
200 SUMMIT AVE STE B, Jackson, MI 49201
Open in Google Maps ↗

Other Identifiers 4

Other110C800500MI · Bcn
OtherDQ1127MI · Railroad Medicare
Other110C800500MI · Bcbs Group
Medicaid1730418831MI

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 SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nadeem Ullah Md Plc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Nadeem Ullah MD Plc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nadeem Ullah, MD
Gastroenterology
NPI 1477592996
200 SUMMIT AVE STE B
Jackson, MI 49201
(517) 768-1225
✔ PECOS✔ Accepts Medicare2.7 mi

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

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 Nadeem Ullah MD Plc's NPI number?

The NPI number for Nadeem Ullah MD Plc is 1730418831. It was assigned to this organization in the NPPES registry on December 18, 2009.

Where is Nadeem Ullah MD Plc located?

Nadeem Ullah MD Plc is located at 200 Summit Ave Ste B, Jackson, MI 49201. The listed phone number is (517) 768-1225.

What is Nadeem Ullah MD Plc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Nadeem Ullah MD Plc enrolled in Medicare?

Yes. Nadeem Ullah MD Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nadeem Ullah MD Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gastroenterology) reassigns their Medicare billing to Nadeem Ullah MD Plc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Nadeem Ullah MD Plc accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Nadeem Ullah MD Plc 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.

When was this NPI record last updated?

The NPPES record for Nadeem Ullah MD Plc was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.