RAID SACO (MD) – Internal Medicine Physician, NPI 1154701985

RAID SACO (MD) is a healthcare provider. based in Detroit, Michigan. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 4301107946 (MI). The NPI Number for RAID SACO (MD) is 1154701985

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
RAID SACO (MD)
NPI
1154701985
Phone
(313) 343-7774
Address
22101 MOROSS RD
Enumeration Date
6 June 2015
Last Update Date
28 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3134736900
Graduation Year
2009 (17 years ago)
PAC ID
7315232972
Group Practice PAC ID
7214299866
Professional Enrollment ID
I20190914000166
Address ID
MI482301507GR468XXRDXX302

Contacts

Secure Messaging
RSACO72679@DIRECT.BEAUMONT.EDU
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

7,218 INTERNAL MEDICINE in MI

Provider Addresses for RAID SACO (MD)

  • 22101 MOROSS RD

    PROFESSIONAL BUILDING 2, SUITE 50

    DETROIT, MI 482362148

    Phone: (313) 343-7774

    Fax: (313) 343-8747

    Type: Mailing

  • 22060 BEECH ST STE 200

    DEARBORN, MI 481242853

    Phone: (313) 228-0505

    Type: Location

  • 33155 Annapolis St

    Wayne, MI 481842405

    Phone: (734) 467-4000

    Type: Location

  • 22101 Moross Rd

    Professional Building 2, Suite 50

    Detroit, MI 482362148

    Phone: (313) 343-7784

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 54 Open Payments records for all available years, with a total value of $3,944.

Total Amount is formed as General ($3,944) + Research ($0) + Ownership ($0) = $3,944.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Abbott Laboratories ($1,527).

Total Amount

$3,944

General + Research + Ownership

Payments

54

Total payment records

General Amount

$3,944

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-09-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190914000166IInternal MedicineMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes15075$0
93297Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days9120$0
99213Established patient office or other outpatient visit, 20-29 minutes9160$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only8979$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes5936$0
View full utilization report →

Insurance plans in this area (ZIP 48236)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214299866View full group profile
NameSpecialtyState
-MI
Hematology/Oncology, Internal MedicineMI
P S Y C H I A T R YMI
-MI
Internal Medicine, Cardiovascular Disease (Cardiology)MI
Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
-MI
-MI
-MI
-MI

Reviews

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Frequently asked questions

What is the registry number for RAID SACO (MD)?
The registry entry for RAID SACO (MD) shows NPI 1154701985.
Should I treat RAID SACO (MD) as an active provider?
Patients and plans typically see RAID SACO (MD) as active in the national extract.
What services align with RAID SACO (MD)'s listing?
RAID SACO (MD)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit RAID SACO (MD) in Detroit, Michigan?
For routing, start with Detroit, Michigan for RAID SACO (MD), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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