Individual provider Active NPI

Siby Binu, FNP

  • Family Nurse Practitioner
  • Clinton Township, MI
National Provider Identifier
1184357139
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704256891 Issued in MI
Practice address
16151 19 Mile Rd Ste 302
Clinton Township, MI 48038-1159
Phone
(586) 228-7433
NPI assigned
Jul 7, 2022
Last updated
May 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704256891 MI Primary

Addresses

Primary practice location

16151 19 Mile Rd Ste 302
Clinton Township, MI 48038-1159

Mailing address

6868 Redford Cir
Troy, MI 48085-1202

Other practice location 1

6868 Redford Cir
Troy, MI 48085-1202
Phone (586) 443-1588

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221019002478 MI Practitioner - Nurse Practitioner 7315313129 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology and Intensive Care Assoc PLLCGroup PAC ID 6901813708, 4 clinicians

Practice addresses (Care Compare)

16151 19 Mile Rd
Suite 302
Clinton Township, MI 48038-1159
Phone (586) 228-7433

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology & Intensive Care Assoc PLLC CurrentSince Apr 13, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Nov 11, 2023 Accepting new patients

Locations

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2373

16151 19 Mile Rd
Ste 302
Clinton Twp, MI 48038
Phone (586) 228-7433

13 N Washington St
Ypsilanti, MI 48197
Phone (734) 999-0138

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: sbinu843927@direct.hfhs.org

Organizations & group practices 2

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1184357139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6868 REDFORD CIR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16151 19 MILE RD STE 302",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381159",
            "telephone_number": "586-228-7433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6868 Redford Cir",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480851202",
            "country_code": "US",
            "telephone_number": "586-443-1588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BINU",
        "first_name": "SIBY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704256891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.