Individual provider Active NPI

Sabrina Diane Dinkha, DO

  • Pediatrics Physician
  • Lansing, MI
National Provider Identifier
1083877344
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
5101017606 Issued in MI
Practice address
13750 S Sedona Parkway
Suite 2
Lansing, MI 48906
Phone
(517) 669-9758
Fax
(517) 679-8232
NPI assigned
Jul 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 5101017606 MI Primary

Addresses

Primary practice location

13750 S Sedona Parkway
Suite 2
Lansing, MI 48906

Mailing address

804 Service Rd
A201
East Lansing, MI 48824-7015
Phone (517) 884-2976

Other identifiers 1

IdentifierTypeStateIssuer
1083877344MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150105000162 MI Practitioner - Pediatric Medicine 2264755917 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Cornerstone Medical Group CurrentSince Jan 1, 2021 Accepting new patients
Thomas D Schomaker DO PC Pediatrics Past Accepting new patients
Ascension Macomb Oakland Hospital Past Accepting new patients

Locations

36075 Utica Rd
Clinton Township, MI 48035

36075 Utica Rd
Ste 100
Clinton Twp, MI 48035
Phone (586) 741-0430

43900 Garfield Rd
Ste 222
Clinton Twp, MI 48038
Phone (586) 263-1234

46591 Romeo Plank Rd
Ste 112
Macomb, MI 48044
Phone (586) 228-0130

25319 Little Mack Ave
Ste 100
Saint Clair Shores, MI 48081

20225 E 9 Mile Rd
Ste A
St Clr Shores, MI 48080
Phone (586) 772-1090

Interoperability endpoints

  • Direct secure messaging: sdinkha63403@direct.hfhs.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/mQjCqHb5rkr1u1foU4dqhQPBpi7Qk9R4/
  • Direct secure messaging: sabrina.dinkha.1@8209.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1083877344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD",
            "address_2": "A201",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "517-884-2976",
            "fax_number": "517-432-3928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13750 S SEDONA PARKWAY",
            "address_2": "SUITE 2",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48906",
            "telephone_number": "517-669-9758",
            "fax_number": "517-679-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINKHA",
        "first_name": "SABRINA",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "5101017606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083877344",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.